Provider Demographics
NPI:1952523243
Name:SIMPSON, MERLE MCFADDEN (RRT)
Entity Type:Individual
Prefix:
First Name:MERLE
Middle Name:MCFADDEN
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180055 THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:SCOTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361
Mailing Address - Country:US
Mailing Address - Phone:308-641-7994
Mailing Address - Fax:
Practice Address - Street 1:180055 THOMAS DR
Practice Address - Street 2:
Practice Address - City:SCOTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361
Practice Address - Country:US
Practice Address - Phone:308-641-7994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15322279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care