Provider Demographics
NPI:1447898879
Name:SIMS, PAMELA FAYE (NCMA)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:FAYE
Last Name:SIMS
Suffix:
Gender:F
Credentials:NCMA
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:FAYE
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NCMA
Mailing Address - Street 1:1569 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140
Mailing Address - Country:US
Mailing Address - Phone:513-575-0968
Mailing Address - Fax:
Practice Address - Street 1:1569 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140
Practice Address - Country:US
Practice Address - Phone:513-575-0968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker