Provider Demographics
NPI:1356735864
Name:SIMPSON, AMY LYNN
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LYNN
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 1:207 E ALDRICH ST
Mailing Address - Street 2:
Mailing Address - City:CAPAC
Mailing Address - State:MI
Mailing Address - Zip Code:48014-3103
Mailing Address - Country:US
Mailing Address - Phone:810-790-0107
Mailing Address - Fax:
Practice Address - Street 1:207 E ALDRICH ST
Practice Address - Street 2:
Practice Address - City:CAPAC
Practice Address - State:MI
Practice Address - Zip Code:48014-3103
Practice Address - Country:US
Practice Address - Phone:810-790-0107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other