TANISHA SIMMONS

Driver

Active Individual
NPI: 1558249953

Practice Address

614 E CALLE CHULO RD
Goodyear, AZ 85338

Phone: (219) 290-6662

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X No 21619565 (AZ)
Driver 172A00000X Yes 21619565 (IN)

Frequently Asked Questions

NPI 1558249953 is the National Provider Identifier for TANISHA SIMMONS, a Driver provider located in Goodyear, AZ. This NPI was enumerated on August 25, 2025.
TANISHA SIMMONS practices at 614 E CALLE CHULO RD, Goodyear, AZ 85338.

Quick Facts

NPI
1558249953
Type
Individual
Enumerated
Aug 25, 2025
Last Updated
Aug 25, 2025

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