Individual
MS. EVETTE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
629 HANCOCK STREET, BROOKLYN, NY 11233
(718) 551-8440
Mailing address
629 HANCOCK STREET, BROOKLYN, NY 11233
(718) 551-8440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304314-1
NY
Other
Enumeration date
08/29/2013
Last updated
11/13/2013
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