Individual
MISS EPHLYN U SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 CUSHING AVENUE, DORCHESTER, MA 02125
(617) 436-8600
(617) 282-8241
Mailing address
222 COURT ST, UNIT 226, BROCKTON, MA 02302
(508) 588-2524
(617) 282-8241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
211873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393380
—
MA
Enumeration date
10/06/2006
Last updated
07/08/2007
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