Individual
MS. DENISE LOUISE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
205 ROCKAWAY PKWY, BROOKLYN, NY 11212-3444
(718) 688-7005
(718) 942-3392
Mailing address
6002 QUEENS BLVD, WOODSIDE, NY 11377-4973
(718) 651-7770
(718) 651-5029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
356272
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NYS NP LICENSE #
400669
NY
Enumeration date
12/19/2007
Last updated
04/08/2021
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