Individual
MRS. DESIREE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6200 W CENTER ST, MILWAUKEE, WI 53210-2159
(414) 444-8670
(414) 444-8678
Mailing address
8303 W NORTH AVE APT 4, WAUWATOSA, WI 53213-1666
(414) 731-5862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
637144
TX
363L00000X
Nurse Practitioner
Primary
13415
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022000274
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022000274
ANCC PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
WI
05
—
363L00000X
—
WI
Enumeration date
09/07/2010
Last updated
09/26/2024
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