NPI 1023367612

Johnnie Mae Simmons

Organisation Pediatric Skilled Nursing Facility Milwaukee, WI

Practice location

Address: 4560 N. 40th St,, Milwaukee, WI 53209
Phone: (414) 510-4893

Authorised official

Name: Johnnie Mae Simmons
Title: Register Nursing
Phone: (414) 510-4893

Registered specialties

Pediatric Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 3140N1450X Licence 167452 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1023367612
Entity type: Organization
NPI issued: 29 Aug 2012
Record last updated: 29 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.