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NPI Code Detail

MEDICARE: KAREEN SIMMONS LPN

MEDICARE: KAREEN SIMMONS LPN
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
1164W00000XLicensed Practical Nurse4703115191MI

General Provider Information

NPI Number : 1982563672
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREEN SIMMONS LPN
Provider Business Mailing Address
First Line : 19110 FRAZHO RD
Second Line :
City : ROSEVILLE
State : MI
Zip : 48066-3500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19110 FRAZHO RD
Second Line :
City : ROSEVILLE
State : MI
Zip : 48066-3500
Country : US
Telephone Number : 313-367-6163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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