| Doctor Name: | MARQUETTA L. SIMS-BERRY |
| NPI Number: | 1134169584 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 45148 |
| Business Practice Address: | 2537 Eisenhower Rd Ottawa, KS - 660679482 |
| Business Phone Number: | 7852423780 |
| Business Fax Number: | 7852426397 |
| Mailing Address: | Po Box 677, OTTAWA |
| State: | KS |
| Postal Code: | 660670677 |
| Phone Number: | 7852423780 |
| Fax Number: | 7852426397 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 45148 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |