Provider Demographics
NPI:1467853580
Name:SIMMS, DIONA SILAS (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DIONA
Middle Name:SILAS
Last Name:SIMMS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 TRINITY LN N
Mailing Address - Street 2:APT 5206
Mailing Address - City:SAINT. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1236
Mailing Address - Country:US
Mailing Address - Phone:813-601-2401
Mailing Address - Fax:
Practice Address - Street 1:5001 E BUSCH BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-5303
Practice Address - Country:US
Practice Address - Phone:813-984-8846
Practice Address - Fax:813-984-8827
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9276100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily