Provider Demographics
NPI:1447908199
Name:SIMPSON, NORMA
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
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 1:229 MADISON SQUARE DR # 132
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-2743
Mailing Address - Country:US
Mailing Address - Phone:270-635-3204
Mailing Address - Fax:
Practice Address - Street 1:1560 W ELM ST
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:KY
Practice Address - Zip Code:42404-9402
Practice Address - Country:US
Practice Address - Phone:270-635-3204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN