Doctor Name: | MRS. MAE ELIZABETH SIMMONS |
NPI Number: | 1558515148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R028727 |
Business Practice Address: | 5 E Washington Blvd South China, ME - 043585006 |
Business Phone Number: | 2074455695 |
Business Fax Number: | |
Mailing Address: | 5 E Washington Blvd, SOUTH CHINA |
State: | ME |
Postal Code: | 043585006 |
Phone Number: | 2074455695 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2008 |
NPI Last Update Date: | 11/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | R028727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |