Provider Demographics
NPI:1699212514
Name:SIMMS, MARJORIA (ACP)
Entity Type:Individual
Prefix:
First Name:MARJORIA
Middle Name:
Last Name:SIMMS
Suffix:
Gender:F
Credentials:ACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7523 VERDI LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-6506
Mailing Address - Country:US
Mailing Address - Phone:804-247-0866
Mailing Address - Fax:
Practice Address - Street 1:7523 VERDI LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-6506
Practice Address - Country:US
Practice Address - Phone:804-247-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator