SAM SIMON CRNP NPI 1326769399

NPI Information

NPI: 1326769399
Provider Name: SAM SIMON, CRNP
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
4200 MONUMENT ROAD
OUTPATIENT BUILDING
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 877-2000
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Sam Simon, CRNP is a psychiatric/mental health and adult registered nurse in Philadelphia, PA with 2 years of experience. Sam Simon, CRNP NPI is 1326769399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 MONUMENT ROAD
OUTPATIENT BUILDING
PHILADELPHIA, PA
ZIP 19131-689
Phone: (215) 877-2000

The NPI 1326769399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2022 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN675125	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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