Simmons, Sandra K
Simmons, Sandra K is an individual health care provider with primary practice located at 3232 N Northhills Blvd , Fayetteville AR 72703-4005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Simmons, Sandra K can be contacted via phone (479) 587-1700.Contact Information
Primary practice address
3232 N Northhills Blvd
Fayetteville AR 72703-4005
Phone: (479) 587-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R0091687 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 45271 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | A004848 | Arkansas |
Profile Details
| NPI number | 1851363469 |
|---|---|
| LBN Legal business name | Simmons, Sandra K |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Mar 30th, 2020 - about 6 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 | 1851363469 | NPPES |
| Missouri | MEDICAID | 1851363469 | |
| Missouri | MEDICAID | 221903758 | |
| Missouri | MEDICAID | 200223030A |
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