Provider Demographics
NPI:1871056580
Name:SIMPSON, ROSE (RN, OCN)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RN, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 MELROSE SQUARE WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-2718
Mailing Address - Country:US
Mailing Address - Phone:240-848-8460
Mailing Address - Fax:
Practice Address - Street 1:9550 MELROSE SQUARE WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-2718
Practice Address - Country:US
Practice Address - Phone:240-848-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR174179163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy