Individual
MRS. SUSAN LOUISE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS RN
Contact information
Practice address
417 LIBERTY ST STE 2120, PENN YAN, NY 14527-1124
(315) 536-5160
Mailing address
1778 LAKE TO LAKE RD, STANLEY, NY 14561-9562
(585) 526-5915
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
312941
NY
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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