Individual provider · Type 1 NPI
Kellie Simmons, CRNP
Adult Health Clinical Nurse Specialist · Philadelphia, PA
NPI number
1386846467
Active
Practice location
3401 N Broad St, Gastroenterology - 3rd Fl Ambulatory Care Center
Philadelphia, PA 19140-5103
Fax (215) 707-3831
Mailing address
2450 W Hunting Park Ave, 3/208N
Philadelphia, PA 19129-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | SP008870 (PA) |
Adult Health Clinical Nurse Specialist: Definition to come...
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About NPI 1386846467
Kellie Simmons, CRNP's National Provider Identifier is 1386846467, issued on Jun 1, 2007. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 18, 2013.