Provider Demographics
NPI:1912869975
Name:SIMMS, JOAN CHRISTEL MARCIAL (APRN)
Entity type:Individual
Prefix:
First Name:JOAN CHRISTEL
Middle Name:MARCIAL
Last Name:SIMMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHRISTEL
Other - Middle Name:
Other - Last Name:SIMMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:91-2018 LAAKONA PL
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:770 KAPIOLANI BLVD STE 500
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5258
Practice Address - Country:US
Practice Address - Phone:808-666-9960
Practice Address - Fax:808-666-9356
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-28
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5450363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner