Individual
BERNADETTE SUSANNE SIMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
1100 LOGGER CT STE G100, RALEIGH, NC 27609-8512
(919) 796-5771
(919) 596-3458
Mailing address
1100-G100 LOGGER COURT, RALEIGH, NC 27609-8512
(919) 796-5771
(919) 596-3458
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
0352419-01
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
0352419
NC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0352419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130AY
BCBS
NC
01
—
16412
UBH
NC
05
—
6004016
—
NC
01
—
87726
UBH
NC
Enumeration date
04/23/2007
Last updated
03/07/2022
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