Provider Demographics
NPI:1154088532
Name:SIMPSON, ABBIGAEL NAOMI (PMHNP)
Entity type:Individual
Prefix:
First Name:ABBIGAEL
Middle Name:NAOMI
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-0188
Mailing Address - Country:US
Mailing Address - Phone:520-616-6790
Mailing Address - Fax:520-622-0849
Practice Address - Street 1:1707 W SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2608
Practice Address - Country:US
Practice Address - Phone:520-616-6790
Practice Address - Fax:520-622-0849
Is Sole Proprietor?:No
Enumeration Date:2021-11-20
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN172398163WC0200X
AZ282225363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine