Provider Demographics
NPI:1558793075
Name:SIMPSON, NADEEN
Entity Type:Individual
Prefix:
First Name:NADEEN
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 1:3902 HARPER AVE
Mailing Address - Street 2:APT 9-A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2415
Mailing Address - Country:US
Mailing Address - Phone:718-325-3681
Mailing Address - Fax:
Practice Address - Street 1:3902 HARPER AVE
Practice Address - Street 2:APT 9-A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2415
Practice Address - Country:US
Practice Address - Phone:718-325-3681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290819-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse