Organization · NPI-2

A Simon Birth Assisting PLLC

Nurse Practitioner, Obstetrics & Gynecology · Sun City West, AZ

NPI number1750809422
StatusActive
Last updated in NPPESSep 1, 2017

Details

NPI
1750809422
Entity type
Organization (NPI-2)
Legal business name
A Simon Birth Assisting PLLC
Organization subpart
No
Enumeration date
Sep 1, 2017
Last updated
Sep 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & GynecologyAP7987AZYes
367A00000X Advanced Practice MidwifeAP7653AZ

Practice location

14502 W Meeker Blvd
Sun City West, AZ 85375-5282

Phone 602-818-7193

Mailing address

8045 W Tonopah Dr
Peoria, AZ 85382-5431

Authorized official

Amanda Simon
Cnm, Whnp-Bc
6028187193

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