Individual
MRS. CATHY M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1355 8TH ST S, WISCONSIN RAPIDS, WI 54494-5265
(715) 423-9610
(715) 423-7753
Mailing address
3111 MIDAS CT, WISCONSIN RAPIDS, WI 54494-6967
(715) 459-4713
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
54190-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54190030
RN LICENSE
WI
Enumeration date
04/12/2007
Last updated
07/08/2007
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