Individual
WALKENNIA ELAINE SIMPSON-EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5133 N CENTRAL AVE STE 206, PHOENIX, AZ 85012-1438
(602) 264-0608
(602) 234-0417
Mailing address
PO BOX 910221, DALLAS, TX 75391-0221
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
227807
AZ
Other
Enumeration date
06/19/2019
Last updated
01/03/2024
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