Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MOON V TINAJERO-SIMMALY, PA-C
ActiveMRS. MOON V TINAJERO-SIMMALY, PA-C is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1295330694 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VANCOUVER, WA
Registration Details
- NPI Number
- 1295330694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2020 (5.6778302241156 yrs)
- Last Updated
- Apr 30, 2024
- Licenses
-
PA2358 (NV)58655 (CA)PA61511235 (WA)
Practice Information
- Address
-
2101 NE 139TH ST STE 460VANCOUVER, WA, 986862325Browse WA providers · Browse ZIP 98686
- Phone
- 3604872727
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| ALAN K MIRLY | PA | 1891780524 |
| JAMES THOMAS STUPFEL | PA-C | 1437130143 |
| JOHN RUSSELL PRENTICE | PA-C | 1497736110 |
| LYNN EUGENE CATON | PA-C | 1477536225 |
| LAURA E BRANDT | PA-C | 1013997899 |
| ROBERT S BROOKSHIRE | PA-C | 1295708378 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.