Provider Demographics
NPI:1598042004
Name:DEVRIES, SIMONE I
Entity Type:Individual
Prefix:MRS
First Name:SIMONE
Middle Name:I
Last Name:DEVRIES
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 1:2668 ELMER LINN DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5208
Mailing Address - Country:US
Mailing Address - Phone:303-485-8466
Mailing Address - Fax:
Practice Address - Street 1:2668 ELMER LINN DR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-5208
Practice Address - Country:US
Practice Address - Phone:303-485-8466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula