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NPI Code Detail

MEDICARE: NANCY SIMS MA CCC-SLP

MEDICARE: NANCY SIMS MA CCC-SLP
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
1235Z00000XSpeech-Language PathologistCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417249020
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY SIMS MA CCC-SLP
Provider Business Mailing Address
First Line : 357 MCCASLIN BLVD STE 200
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2932
Country : US
Telephone Number : 720-308-5426
Fax Number :
Provider Business Practice Location Address
First Line : 357 MCCASLIN BLVD STE 200
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2932
Country : US
Telephone Number : 720-308-5426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2011
Last Update Date : 07/27/2012

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Directions to “ NANCY SIMS MA CCC-SLP” Practice Location

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