Individual
CAROLINE BLAKE SIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP
Contact information
Practice address
2002 MEDICAL PKWY STE 230, ANNAPOLIS, MD 21401-3046
(410) 266-3900
(410) 266-9245
Mailing address
2002 MEDICAL PKWY STE 230, ANNAPOLIS, MD 21401-3046
(410) 266-3900
(410) 266-9245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R175798
MD
363LF0000X
Family Nurse Practitioner
R175798
MD
Other
Enumeration date
09/03/2010
Last updated
12/20/2019
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