Individual
MS. CHANIECE RACHAUN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
101 E CHARLES ST STE 104, LA PLATA, MD 20646-4901
(301) 609-4800
(240) 901-2958
Mailing address
101 E CHARLES ST STE 104, LA PLATA, MD 20646-4901
(301) 609-4800
(240) 901-2958
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R225247
MD
Other
Enumeration date
05/06/2024
Last updated
11/27/2024
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