MRS. KRISTINE SUSANNE SIMBULAN NP
NPI 1376785972
Nurse Practitioner - Adult Health in Moseley, VA

Active since March 27, 2009
5500 FOX MARSH PL, MOSELEY, VA 23120(858) 602-9723 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2022, Nov 11, 2022, May 8, 2019 and 1 more (4 updates tracked since 2018).

About Mrs. Kristine Susanne Simbulan Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTINE SUSANNE SIMBULAN NP (NPI 1376785972) is an individual adult health provider in Moseley, Virginia, licensed in Virginia (24188418) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1376785972
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KRISTINE SUSANNE SIMBULANCredential: NP
Location Address5500 FOX MARSH PLMoseley, VA 23120-1604
Mailing Address5500 Fox Marsh PlMoseley, VA 23120-1604 · (858) 602-9723
Sole ProprietorNo
Enumeration DateMarch 27, 2009
Last NPPES UpdateJuly 29, 20254 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1376785972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in VA · 24188418
5500 FOX MARSH PL, Moseley, VA 23120

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376785972, enumerated as an "individual" on March 27, 2009.

The provider is located at 5500 FOX MARSH PL MOSELEY, VA 23120 and the phone number is (858) 602-9723.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.