Provider Demographics
NPI:1295199271
Name:SIMPKINS, MARGRETT ANNE (LPN)
Entity Type:Individual
Prefix:
First Name:MARGRETT
Middle Name:ANNE
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MARGRETT
Other - Middle Name:ANNE
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1853 13TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-2577
Mailing Address - Country:US
Mailing Address - Phone:503-884-5704
Mailing Address - Fax:
Practice Address - Street 1:1853 13TH ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-2577
Practice Address - Country:US
Practice Address - Phone:503-884-5704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201505707LPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse