Individual
ANNICE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10120 MAJESTIC PALM CIR APT 202, RIVERVIEW, FL 33578-9435
(813) 466-8793
Mailing address
10120 MAJESTIC PALM CIR APT 202, RIVERVIEW, FL 33578-9435
(813) 466-8793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9411162
FL
163WA2000X
Administrator Registered Nurse
9411162
FL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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