Individual
BRIDGETT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10150 E NORTH LAKE DR, NEWTON, IL 62448-3461
(217) 343-0948
Mailing address
10150 E NORTH LAKE DR, NEWTON, IL 62448-3461
(217) 343-0948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012911
IL
363LX0106X
Occupational Health Nurse Practitioner
209012911
IL
Other
Enumeration date
07/09/2015
Last updated
01/14/2016
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