Individual provider · Type 1 NPI

Sheran Maxwell Simo, NP

Family Nurse Practitioner · Bridgeport, CT

NPI number 1497740062 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

226 Mill Hill Ave, 3rd Floor
Bridgeport, CT 06610-2826

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71000703A (IN)
Family Nurse Practitioner Primary 363LF0000X004573 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1497740062

Sheran Maxwell Simo, NP's National Provider Identifier is 1497740062, issued on Sep 20, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 19, 2015.