Simmons, Amanda L

Simmons, Amanda L is an individual health care provider with primary practice located at 1818 Amherst St , Winchester VA 22601-2869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Simmons, Amanda L can be contacted via phone (540) 450-0072.

Contact Information

Primary practice address
1818 Amherst St Winchester VA 22601-2869
Phone: (540) 450-0072
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024168056 Virginia

Profile Details

NPI number 1114171469
LBN Legal business name Simmons, Amanda L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Mar 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114171469 NPPES
Virginia Other P00676827 MEDICARE RR
Virginia MEDICAID 1114171469 MEDICARE RR
Virginia MEDICAID 3810013805 MEDICARE RR

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