Provider Demographics
NPI:1932432382
Name:SIMPSON-FLEMING, STACEY ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:ELIZABETH
Last Name:SIMPSON-FLEMING
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 1:980 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2907
Mailing Address - Country:US
Mailing Address - Phone:303-832-3668
Mailing Address - Fax:303-861-1403
Practice Address - Street 1:980 GRANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2907
Practice Address - Country:US
Practice Address - Phone:303-832-3668
Practice Address - Fax:303-861-1403
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-6090174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist