Individual
PAULINA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
14074 N 90TH DR, PEORIA, AZ 85381-3678
(623) 219-7768
(480) 436-6926
Mailing address
8380 W EMILE ZOLA AVE, #5178, PEORIA, AZ 85381-3068
(623) 219-7768
(480) 436-6926
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP8849
AZ
363LG0600X
Gerontology Nurse Practitioner
AP8849
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP8849
AZ
Other
Enumeration date
09/02/2016
Last updated
01/13/2020
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