Individual
MR. DANIEL CHARLES SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
16818 E DESMET CT, SPOKANE VALLEY, WA 99216-3542
(509) 456-5380
(509) 456-5381
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00083645
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004926
WA
367500000X
Certified Registered Nurse Anesthetist
RNA-919A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020826
—
WA
05
—
1861485021
—
ID
01
—
35225
LABOR AND INDUSTRIES
WA
01
—
430030686
RAILROAD MEDICARE
WA
01
—
G8949118
MEDICARE WA
WA
Enumeration date
08/23/2005
Last updated
12/11/2020
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