Provider Demographics
NPI:1366953077
Name:SIMONS, CHRISTINE ANNE (DNP, NP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANNE
Last Name:SIMONS
Suffix:
Gender:
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26512 163RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-8223
Mailing Address - Country:US
Mailing Address - Phone:503-462-4221
Mailing Address - Fax:
Practice Address - Street 1:16400 SOUTHCENTER PKWY STE 309
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3335
Practice Address - Country:US
Practice Address - Phone:888-721-8746
Practice Address - Fax:425-459-5144
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201708884NP-PP363LF0000X
WAAP60793279363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner