Simmonds, Khadijah Latisse Theresa

Simmonds, Khadijah Latisse Theresa is an individual health care provider with primary practice located at 159 Johnston St , Newburgh NY 12550-4523. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Simmonds, Khadijah Latisse Theresa can be contacted via phone (845) 219-8402.

Contact Information

Primary practice address
159 Johnston St Newburgh NY 12550-4523
Phone: (845) 219-8402
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 343272180612E New York

Profile Details

NPI number 1518326446
LBN Legal business name Simmonds, Khadijah Latisse Theresa
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2016
Last updated Feb 20th, 2016 - about 10 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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