Provider Demographics
NPI:1356712764
Name:SIMPSON, KAREN A (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E SEDGWICK ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1327
Mailing Address - Country:US
Mailing Address - Phone:215-266-4444
Mailing Address - Fax:
Practice Address - Street 1:515 E SEDGWICK ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1327
Practice Address - Country:US
Practice Address - Phone:215-266-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN246819L163W00000X, 163WP0809X
PARN24819L163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult