Individual
MS. SHERAN MAXWELL SIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3042
Mailing address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 384-3042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004573
CT
363LF0000X
Family Nurse Practitioner
71000703A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S92390
—
IN
Enumeration date
09/20/2005
Last updated
06/19/2015
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