Provider Demographics
NPI:1326749102
Name:SIMMONDS, GENAE (APRN FNP-BC)
Entity Type:Individual
Prefix:
First Name:GENAE
Middle Name:
Last Name:SIMMONDS
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 N UNIVERSITY DR STE F-100 #A172
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351
Mailing Address - Country:US
Mailing Address - Phone:954-600-2710
Mailing Address - Fax:954-231-2607
Practice Address - Street 1:4300 N UNIVERSITY DR STE F-100 #A172
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351
Practice Address - Country:US
Practice Address - Phone:954-600-2710
Practice Address - Fax:954-231-2607
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9425931363L00000X, 363LF0000X
FLAPRN11025369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner