Individual
MS. SHYNI A SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 200, ANNAPOLIS, MD 21401-3742
(443) 481-5300
(443) 481-6705
Mailing address
PO BOX 64294, BALTIMORE, MD 21264-4294
(443) 481-6482
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R153217
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
FEDERAL WORKMAN'S COMP
MD
01
—
325633
AMERIGROUP
MD
05
—
412648300
—
MD
01
—
58860011
BCBS DC
—
01
—
6301091
AETNA HMO
—
01
—
911454-03
BCBS MARYLAND
—
01
—
91145401
BCBS MD
—
01
—
91145403
BCBS
MD
01
—
91145404
BCBS
MD
01
—
9678143
AETNA PPO
—
01
—
V8080005
BCBS
DC
01
—
V8380005
BCBS
DC
01
—
V8740004
BCBS
DC
Enumeration date
03/13/2007
Last updated
11/22/2010
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