Provider Demographics
NPI:1851758031
Name:SIMS, L MONIQUE (LVN)
Entity Type:Individual
Prefix:
First Name:L MONIQUE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 N SHEPHERD DR
Mailing Address - Street 2:APT 508
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-7654
Mailing Address - Country:US
Mailing Address - Phone:281-515-8961
Mailing Address - Fax:
Practice Address - Street 1:3405 N SHEPHERD DR
Practice Address - Street 2:APT 508
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-7654
Practice Address - Country:US
Practice Address - Phone:281-515-8961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX306944164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse