Basic Information
| Provider Information | |||||||||
| NPI: | 1225042559 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIMS | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | COFFMAN | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SIMS | ||||||||
| OtherFirstName: | ELIZABETH | ||||||||
| OtherMiddleName: | COFFMAN | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | RN | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3300 WEST ESPLANADE AVE | ||||||||
| Address2: | SUITE 213 | ||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048385716 | ||||||||
| FaxNumber: | 5048385714 | ||||||||
| Practice Location | |||||||||
| Address1: | 5001 WESTBANK EXPRESSWAY | ||||||||
| Address2: | |||||||||
| City: | MARRERO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70072 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043498708 | ||||||||
| FaxNumber: | 5043298703 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA0400X | RN024581 | LA | X | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) | 163WP0808X | RN024581 | LA | X | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.