Simmons, Amanda L
Simmons, Amanda L is an individual health care provider with primary practice located at 1818 Amherst St , Winchester VA 22601-2869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Simmons, Amanda L can be contacted via phone (540) 450-0072.Contact Information
Primary practice address
1818 Amherst St
Winchester VA 22601-2869
Phone: (540) 450-0072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024168056 | Virginia |
Profile Details
| NPI number | 1114171469 |
|---|---|
| LBN Legal business name | Simmons, Amanda L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2008 |
| Last updated | Mar 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114171469 | NPPES |
| Virginia | Other | P00676827 | MEDICARE RR |
| Virginia | MEDICAID | 1114171469 | MEDICARE RR |
| Virginia | MEDICAID | 3810013805 | MEDICARE RR |
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