Provider Demographics
NPI:1710284336
Name:SIMMONS, DIANA LYNN (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:LYNN
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:LYNN
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8160 E BUTHERUS DR STE 9
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2523
Mailing Address - Country:US
Mailing Address - Phone:602-377-7326
Mailing Address - Fax:480-499-5526
Practice Address - Street 1:8160 E BUTHERUS DR
Practice Address - Street 2:SUITE 9
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2671
Practice Address - Country:US
Practice Address - Phone:602-377-7326
Practice Address - Fax:480-499-5526
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3949363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health