Individual
RACHELLE LAVONNE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5609 FOXCROSS CT, FORT WAYNE, IN 46835-2801
(765) 720-3233
Mailing address
5609 FOXCROSS CT, FORT WAYNE, IN 46835-2801
(765) 720-3233
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28161446A
IN
Other
Enumeration date
01/29/2021
Last updated
02/05/2021
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