Basic Information
| Provider Information | |||||||||
| NPI: | 1003150079 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMS | ||||||||
| FirstName: | ALVENA | ||||||||
| MiddleName: | MESHOINE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PA-C, MMS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7886 MARIOAK DR | ||||||||
| Address2: | |||||||||
| City: | ELKRIDGE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210756449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019281802 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6701 N CHARLES ST | ||||||||
| Address2: | LABOR & DELIVERY | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212046808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4438492577 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2012 | ||||||||
| LastUpdateDate: | 10/25/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | C04948 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.