Individual
MRS. WYLENE B SIMMONS-ELLINGTON
Active
Individual
MRS. WYLENE B SIMMONS-ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
MW122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340135900
—
FL
01
—
Y4971
BLUE CROSS BLUE SHEILD
FL
Enumeration date
10/25/2007
Last updated
10/25/2007
Update your record
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