Individual
KIZZY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
10620 HEATHER GLEN WAY, BOWIE, MD 20720-4279
(240) 413-3009
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1022586
DC
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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