Provider Demographics
NPI:1730547076
Name:SIMMONS, MARGARET SUZANNE (NP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:SUZANNE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:200 ISLAMARADA CT
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-0463
Mailing Address - Country:US
Mailing Address - Phone:904-377-6089
Mailing Address - Fax:904-461-0823
Practice Address - Street 1:9900 BREN RD E
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9664
Practice Address - Country:US
Practice Address - Phone:904-599-6401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9267957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily