Provider Demographics
NPI:1528458296
Name:SIMNER, PATRICIA
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:SIMNER
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:BOX 71
Mailing Address - Street 2:
Mailing Address - City:STE. AGATHE
Mailing Address - State:MANITOBA
Mailing Address - Zip Code:R0G 1Y0
Mailing Address - Country:CA
Mailing Address - Phone:204-209-2400
Mailing Address - Fax:
Practice Address - Street 1:L4025-409 TACHE AVENUE
Practice Address - Street 2:
Practice Address - City:WINNIPEG
Practice Address - State:MANITOBA
Practice Address - Zip Code:R2H 2A6
Practice Address - Country:CA
Practice Address - Phone:204-237-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory