Individual
MS. KATHLEEN H SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 254-0072
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
156182
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN156182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703133
—
MA
05
—
110024833A
—
MA
Enumeration date
03/29/2006
Last updated
03/23/2022
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