Provider Demographics
NPI:1679937833
Name:SIMONSEN, BRITTANIE
Entity type:Individual
Prefix:
First Name:BRITTANIE
Middle Name:
Last Name:SIMONSEN
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 1:2815 S LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-8861
Mailing Address - Country:US
Mailing Address - Phone:308-398-0350
Mailing Address - Fax:308-398-0351
Practice Address - Street 1:2815 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-8861
Practice Address - Country:US
Practice Address - Phone:308-398-0350
Practice Address - Fax:308-398-0351
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2006363AM0700X
172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical