Individual
CAROLE K SIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1403 MADISON PARK DR STE 200, GLEN BURNIE, MD 21061-6427
(410) 487-6902
(410) 487-6982
Mailing address
1403 MADISON PARK DR STE 200, GLEN BURNIE, MD 21061-6427
(410) 487-6902
(410) 487-6982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R219656
MD
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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