Simko, Maryellen

Simko, Maryellen is an individual health care provider with primary practice located at 95 Hockanum Blvd Unit 5013, Vernon CT 06066-4099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Simko, Maryellen can be contacted via phone (860) 538-5049.

Contact Information

Primary practice address
95 Hockanum Blvd Unit 5013 Vernon CT 06066-4099
Phone: (860) 538-5049
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002739 Connecticut

Profile Details

NPI number 1154428282
LBN Legal business name Simko, Maryellen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154428282 NPPES
Connecticut MEDICAID 004265006

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