Shoshana Susan Simon in Raleigh - Psychiatric/mental Health

Shoshana Susan Simon - NPI 1770606147

Shoshana Susan Simon is a Psychiatric/mental Health in Raleigh, North Carolina. Shoshana Susan Simon practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Shoshana Susan Simon is 1770606147. The last update date is 2014-12-05.

Shoshana Susan Simon's current location address is 1100 Logger Court, Raleigh, North Carolina. You can contact this provider via phone number 9198559090 and fax number 9197869154. The mailing address for Shoshana Susan Simon is 1100 Logger Court, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Shoshana Susan Simon
Address 1100 Logger Court, Raleigh, North Carolina
Phone Number 9198559090
Fax Number 9197869154
Sole Proprietor Y
Credentials MSN, RN, C

NPI Number Detail

NPI Number 1770606147
Provider Enumeration Date 2007-04-09
Last Updated Date 2014-12-05

Provider Mailing Address Detail

Address 1100 Logger Court
City Raleigh
State North Carolina (NC)
Post Code 276098512
Phone Number 9198559090
Fax Number 9197869154

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Licence No 99925
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
76654 NC BLUECROSS BLUE SHIELD ID
RA792 NC EMPIRE BLUE CROSS BLUE SH

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FAQs about Shoshana Susan Simon

What is the unique provider identifier assigned to Shoshana Susan Simon?

The Shoshana Susan Simon has been issued the NPI (National Provider Identifier) 1770606147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Shoshana Susan Simon is physically located?

The Shoshana Susan Simon is physically situated at the following address: 1100 Logger Court, Raleigh, NC, 276098512.

What is the Shoshana Susan Simon's specialty and taxonomy code?

The Shoshana Susan Simon's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 364Sp0808X.

When was the Shoshana Susan Simon's 1770606147 issued?

The Shoshana Susan Simon's 1770606147 was issued on 2007-04-09.

When was the information pertaining to Shoshana Susan Simon most recently updated or revised?

The details related to Shoshana Susan Simon, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-05.

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