Simo, Sheran Maxwell
Simo, Sheran Maxwell is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Simo, Sheran Maxwell can be contacted via phone (203) 384-3042.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000703A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 004573 | Connecticut |
Profile Details
| NPI number | 1497740062 |
|---|---|
| LBN Legal business name | Simo, Sheran Maxwell |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jun 19th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497740062 | NPPES |
| Indiana | MEDICAID | S92390 |
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