Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 26929 | KY |
Y | 207VX0201X | Gynecologic Oncologist | 35059061 | OH |
NPI | 1518951797 |
---|---|
Provider Name | Dr. Nancy L Simon |
First Address | Cincinnati, OH 45226-2326 |
Second Address | Cincinnati, OH 45242-5621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 12/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0779500 | (05) | OH |
100386720 | (05) | IN |
64863475 | (05) | KY |