Individual
LUANN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
30 SUFFOLK DOWN, SHOREHAM, NY 11786-1538
(631) 664-7535
Mailing address
30 SUFFOLK DOWN, SHOREHAM, NY 11786-1538
(631) 664-7535
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
702790-1
NY
163WH0500X
Hemodialysis Registered Nurse
702790-1
NY
163WI0500X
Infusion Therapy Registered Nurse
702790-1
NY
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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