Provider Demographics
NPI:1821874033
Name:SIMMONS, ARLISHA DIANE
Entity Type:Individual
Prefix:
First Name:ARLISHA
Middle Name:DIANE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 EDEN SQ # C
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2750
Mailing Address - Country:US
Mailing Address - Phone:757-204-1392
Mailing Address - Fax:
Practice Address - Street 1:1109 EDEN SQ # C
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2750
Practice Address - Country:US
Practice Address - Phone:757-204-1392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide