Provider Demographics
NPI:1811434707
Name:SIMPSON, CAITLIN BLUE (PA-C)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:BLUE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 MONTGOMERY HWY STE 125
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1840
Mailing Address - Country:US
Mailing Address - Phone:205-822-4357
Mailing Address - Fax:205-874-9612
Practice Address - Street 1:200 MONTGOMERY HWY STE 125
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1840
Practice Address - Country:US
Practice Address - Phone:205-822-4357
Practice Address - Fax:205-874-9612
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2020-09-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant