Individual
DR. SAMUEL R SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 W 12TH ST, IMPERIAL, NE 69033-3130
(308) 882-7111
Mailing address
905 SHERMAN AVE, GRANT, NE 69140-3027
(712) 790-2949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119772
IA
163WC0200X
Critical Care Medicine Registered Nurse
R 100585
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
101237
NE
367500000X
Certified Registered Nurse Anesthetist
C-APN.0100015-C-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
D-119772
IA
Other
Enumeration date
04/11/2007
Last updated
03/19/2026
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