Individual
LISA KATHLEEN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
Mailing address
8333 NAAB RD STE 420, INDIANAPOLIS, IN 46260-1992
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2014016879
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71005197A
IN
Other
Enumeration date
10/07/2014
Last updated
08/10/2022
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