Individual
SUSAN G SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1010 SW COAST HWY STE 201, NEWPORT, OR 97365-5240
(541) 265-8816
Mailing address
1010 SW COAST HWY STE 201, NEWPORT, OR 97365-5240
(541) 265-8816
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
640
SC
363LF0000X
Family Nurse Practitioner
Primary
201701168NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0180
—
SC
01
—
P00891756
RAIL ROAD ID#
SC
Enumeration date
06/12/2006
Last updated
12/15/2017
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