Provider Demographics
NPI:1730478561
Name:SIMPSON, ALICIA A (NP)
Entity type:Individual
Prefix:MISS
First Name:ALICIA
Middle Name:A
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6695 GREEN VALLEY CIR UNIT 3093
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90231-5647
Mailing Address - Country:US
Mailing Address - Phone:310-903-8576
Mailing Address - Fax:
Practice Address - Street 1:6695 GREEN VALLEY CIR UNIT 3093
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90231-5647
Practice Address - Country:US
Practice Address - Phone:310-903-8576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 567680163WC0200X
NY40 401337363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine