Individual
ANTHIANETTE YVONNE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4134 MY LADY LN APT 4, LAND O LAKES, FL 34638-3621
(813) 989-1930
Mailing address
4134 MY LADY LN APT 4, LAND O LAKES, FL 34638-3621
(813) 989-1930
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
104743900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104743900
—
FL
Enumeration date
03/17/2020
Last updated
03/17/2020
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