Provider Demographics
NPI:1083356836
Name:EPPINETTE, SIMONA (RN)
Entity Type:Individual
Prefix:
First Name:SIMONA
Middle Name:
Last Name:EPPINETTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 N 16TH ST STE 316
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1266
Mailing Address - Country:US
Mailing Address - Phone:602-650-1212
Mailing Address - Fax:225-256-2553
Practice Address - Street 1:3455 FLORIDA ST STE 400
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3764
Practice Address - Country:US
Practice Address - Phone:225-256-6604
Practice Address - Fax:225-256-2553
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA211264163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse