Provider Demographics
NPI:1316609308
Name:SIMPSON, VICTORIA N
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:N
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 OHAI LN
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-1528
Mailing Address - Country:US
Mailing Address - Phone:703-232-5226
Mailing Address - Fax:
Practice Address - Street 1:1314 S KING ST STE 1555
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2073
Practice Address - Country:US
Practice Address - Phone:808-683-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date: