Provider Demographics
NPI:1063726354
Name:SIMPKINS, AMBER N I (LPN)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:N
Last Name:SIMPKINS
Suffix:I
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3370 COUNTY ROAD 6
Mailing Address - Street 2:
Mailing Address - City:KITTS HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45645-9088
Mailing Address - Country:US
Mailing Address - Phone:740-532-3086
Mailing Address - Fax:
Practice Address - Street 1:3370 COUNTY ROAD 6
Practice Address - Street 2:
Practice Address - City:KITTS HILL
Practice Address - State:OH
Practice Address - Zip Code:45645-9088
Practice Address - Country:US
Practice Address - Phone:740-532-3086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 116834164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse