Provider Demographics
NPI:1649808403
Name:SIMMONS, ASHLEE (CNMT)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:CNMT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:720 GULFWIND RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3198
Mailing Address - Country:US
Mailing Address - Phone:781-413-5995
Mailing Address - Fax:
Practice Address - Street 1:2025 GLENN MITCHELL DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0178
Practice Address - Country:US
Practice Address - Phone:757-507-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-29
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology