Provider Demographics
NPI:1326363193
Name:SIMPSON, TRUDY MARLENE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:TRUDY
Middle Name:MARLENE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 SW 34TH CIR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-3358
Mailing Address - Country:US
Mailing Address - Phone:352-291-0245
Mailing Address - Fax:352-291-0231
Practice Address - Street 1:3304 SW 34TH CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-3358
Practice Address - Country:US
Practice Address - Phone:352-291-0245
Practice Address - Fax:352-291-0231
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3093982363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner