Search › Arizona › 172A00000X
Tanisha Simmons
NPI 1558249953 · on the registry since 2025
Practice
- Address
- 614 E Calle Chulo Rd
Goodyear, AZ 85338 - Phone
- (219) 290-6662
- Organisation at this address
- Msj Elite Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 3747P1801X
- Licence states on file
- AZ, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona