Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 001575 | CT |
NPI | 1023195765 |
---|---|
Provider Name | Christine S Simpson |
First Address | Milford, CT 06460-5354 |
Second Address | Milford, CT 06460-5354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |