Provider Demographics
NPI:1578013892
Name:SIMS, CHRISTINE DOLORES (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DOLORES
Last Name:SIMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 COLERAIN AVE
Mailing Address - Street 2:24
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1262
Mailing Address - Country:US
Mailing Address - Phone:513-473-8564
Mailing Address - Fax:
Practice Address - Street 1:4510 COLERAIN AVE
Practice Address - Street 2:24
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-1262
Practice Address - Country:US
Practice Address - Phone:513-473-8564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.160913.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse