NPI 1518326446

Khadijah Latisse Theresa Simmonds, CNA

Practitioner Nurse's Aide Newburgh, NY

Practice location

Address: 159 Johnston St, Newburgh, NY 12550-4523
Phone: (845) 219-8402

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 343272180612E (NY)

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Registry record

NPI: 1518326446
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2016
Record last updated: 20 Feb 2016

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.