Simpson, Tyne Marie

Simpson, Tyne Marie is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4440, South Bend IN 46601-1171. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Simpson, Tyne Marie can be contacted via phone (574) 647-5300.

Contact Information

Primary practice address
100 Navarre Pl Ste 4440 South Bend IN 46601-1171
Phone: (574) 647-5300
Fax: (574) 647-5305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28172954 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007418A Indiana

Profile Details

NPI number 1184142721
LBN Legal business name Simpson, Tyne Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Apr 28th, 2023 - about 3 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 1184142721 NPPES
Indiana MEDICAID 300006126

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