Most Relevant Information
Provider Data
| NPI Number: | 1003599614 |
| Provider Name: | AKHSA SIMONOVICH FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10583 |
Most Important Dates
| Enumeration Date: | 08/09/2023 |
| Last Updated: | 10/23/2023 |
Provider Practice Location
3924 193RD LN NW
ANOKA
MN
553035773
Practice Location Phone/Fax
| Phone: | 7634381449 |
| Fax: |
Provider Mailing Location
3924 193RD LN NW
ANOKA
MN
553035773
Provider Mailing Phone/Fax
| Phone: | 7634381449 |
| Fax: |