Provider Demographics
NPI:1669507703
Name:SIMPSON, CLAUDIA NICOLE II
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:NICOLE
Last Name:SIMPSON
Suffix:II
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 1:5614 DOUGHBOY LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT DIX
Mailing Address - State:NJ
Mailing Address - Zip Code:08640-5429
Mailing Address - Country:US
Mailing Address - Phone:609-724-0008
Mailing Address - Fax:
Practice Address - Street 1:5614 DOUGHBOY LOOP
Practice Address - Street 2:
Practice Address - City:FORT DIX
Practice Address - State:NJ
Practice Address - Zip Code:08640-5429
Practice Address - Country:US
Practice Address - Phone:609-724-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ146N00000X146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty