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NPI Code Detail

MEDICARE: CHRISTY LYNN SIMS

MEDICARE: CHRISTY LYNN SIMS
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
1363L00000XNurse PractitionerF07210795FL

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 : 1790357168
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY LYNN SIMS
Provider Business Mailing Address
First Line : 8146 N PINE HAVEN PT
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34428-6911
Country : US
Telephone Number : 352-201-6543
Fax Number :
Provider Business Practice Location Address
First Line : 1250 N VANTAGE POINT DR
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-5736
Country : US
Telephone Number : 352-795-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2021
Last Update Date : 07/14/2021

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Directions to “ CHRISTY LYNN SIMS ” Practice Location

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