Individual
MS. SARAH JANE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041256161
IL
367A00000X
Advanced Practice Midwife
Primary
209002793
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364190130
TAX IDENTIFICATION NUMBER
IL
Enumeration date
04/11/2007
Last updated
04/26/2008
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