Individual
MRS. KATRINA M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252637
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110146059A
—
MA
Enumeration date
07/18/2018
Last updated
12/28/2022
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