Provider Demographics
NPI:1831612548
Name:POSTELL, SIMONA ERICA (APRN)
Entity type:Individual
Prefix:MRS
First Name:SIMONA
Middle Name:ERICA
Last Name:POSTELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SIMONA
Other - Middle Name:
Other - Last Name:DEVENISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5466 THOMASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3812
Mailing Address - Country:US
Mailing Address - Phone:850-893-8116
Mailing Address - Fax:
Practice Address - Street 1:260 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2702
Practice Address - Country:US
Practice Address - Phone:561-743-3841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9356065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily