Simmons, Andrea

Simmons, Andrea is an sole proprietor health care provider with primary practice located at 3525 Ensign Rd Ne Ste B, Olympia WA 98506-5065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Simmons, Andrea can be contacted via phone (360) 507-9100.

Contact Information

Primary practice address
3525 Ensign Rd Ne Ste B Olympia WA 98506-5065
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60719277 Washington

Profile Details

NPI number 1306248927
LBN Legal business name Simmons, Andrea
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2014
Last updated Apr 19th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306248927 NPPES
Washington MEDICAID 1306248927

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