Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2013010380 | MA |
NPI | 1003164310 |
---|---|
Provider Name | Somatra Lynn Simpson |
First Address | Taunton, MA 02780-3960 |
Second Address | Taunton, MA 02780-3960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2012 |
Last Update Date | 02/06/2014 |