Individual
PETA-GAYE SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1073 N BENSON RD, FAIRFIELD, CT 06824-5171
(347) 571-3579
Mailing address
900 MIX AVE APT 16, HAMDEN, CT 06514-5106
(347) 571-3579
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
178848
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
149052
CT
Other
Enumeration date
07/20/2021
Last updated
07/15/2024
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