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ANDREA LEIGH SIMON
NPI 1902361728
Licensed Practical Nurse in Grandville, MI

Active since February 06, 2019
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 222-5300 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrea Leigh Simon NPPES

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

ANDREA LEIGH SIMON (NPI 1902361728) is an individual licensed practical nurse in Grandville, Michigan, licensed in Michigan (4703102830) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1902361728
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANDREA LEIGH SIMON
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address3584 Fairlanes Ave Sw Ste 2Grandville, MI 49418-1583
Phone(616) 222-5300
Sole ProprietorNo
Enumeration DateFebruary 6, 2019
✔ NPI 1902361728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703102830
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TOMMIE EARL JOHNSON LLMSW
Prevention Professional
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ANGELA LONG
Counselor
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TAMMY LYNN MOHR
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ALEXIS TRUDEAU LLMSW
Social Worker (Clinical)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
JOSHUA MAY
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
WYOMING, MI 49418
Kent County (616) 222-5300
MRS. ANTOINETTE ALEXANDRIA VARGAS
Social Worker (Clinical)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Simon's NPI number?

The NPI number for Andrea Simon is 1902361728. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Andrea Simon located?

Andrea Simon practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 222-5300.

What is Andrea Simon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Andrea Simon was last updated on February 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.