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NPI Code Detail

MEDICARE: STEPHANIE ELIZABETH SIMMES RN

MEDICARE: STEPHANIE ELIZABETH SIMMES RN
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
1163W00000XRegistered Nurse904495-01NY

General Provider Information

NPI Number : 1588419956
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ELIZABETH SIMMES RN
Provider Business Mailing Address
First Line : 2 ACADEMY ST RM 201
Second Line :
City : MAYVILLE
State : NY
Zip : 14757-1050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 FRANKLIN AVE
Second Line :
City : DUNKIRK
State : NY
Zip : 14048-2804
Country : US
Telephone Number : 716-363-3550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2024
Last Update Date : 04/19/2024

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