Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | A-064157 | IA |
NPI | 1003068032 |
---|---|
Provider Name | Mrs. Rhonda Kay Simpson |
First Address | Dubuque, IA 52001-7608 |
Second Address | Dubuque, IA 52001-7608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 22/10/2008 |