MEDICARE: MRS. DEBRA KAY SIMS WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	096673	MO

General Provider Information

NPI Number	:	1851393052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA KAY SIMS WHNP

Provider Business Mailing Address
First Line	:	19550 E 39TH ST S
Second Line	:	STE 300
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057-2303
Country	:	US
Telephone Number	:	816-478-0220
Fax Number	:	816-795-3456

Provider Business Practice Location Address
First Line	:	19550 E 39TH ST S
Second Line	:	STE 300
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057-2303
Country	:	US
Telephone Number	:	816-478-0220
Fax Number	:	816-795-3456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/02/2009

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