Individual
ANNAMIEKA SIMMONS CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1104 N DIVISION ST, CARSON CITY, NV 89703-3803
(775) 882-9123
Mailing address
1104 N DIVISION ST, CARSON CITY, NV 89703-3803
(775) 882-9123
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16018
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100543025
—
NV
Enumeration date
09/19/2012
Last updated
07/17/2019
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