Basic Information
| Provider Information | |||||||||
| NPI: | 1154088532 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMPSON | ||||||||
| FirstName: | ABBIGAEL | ||||||||
| MiddleName: | NAOMI | ||||||||
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| Credential: | PMHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 188 | ||||||||
| Address2: | |||||||||
| City: | MARANA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 856530188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206166790 | ||||||||
| FaxNumber: | 5206220849 | ||||||||
| Practice Location | |||||||||
| Address1: | 1707 W SAINT MARYS RD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857452608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206166790 | ||||||||
| FaxNumber: | 5206220849 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2021 | ||||||||
| LastUpdateDate: | 10/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | RN172398 | AZ | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 363LP0808X | 282225 | AZ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.