Provider Demographics
NPI:1508454919
Name:SIMPSON, PATSY
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 OLD COLONIAL WAY APT 302
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2049
Mailing Address - Country:US
Mailing Address - Phone:757-768-2913
Mailing Address - Fax:
Practice Address - Street 1:543 OLD COLONIAL WAY APT 302
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2049
Practice Address - Country:US
Practice Address - Phone:757-768-2913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health