Provider Demographics
NPI:1073073029
Name:SIMPSON, KATHERINE DENISE (NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DENISE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:DENISE
Other - Last Name:SIMPSON - GIWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:4327 MT DAVIS WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4530
Mailing Address - Country:US
Mailing Address - Phone:859-609-0976
Mailing Address - Fax:
Practice Address - Street 1:4327 MT DAVIS WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4530
Practice Address - Country:US
Practice Address - Phone:859-609-0976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-24
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137677363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily