Provider Demographics
NPI:1003622465
Name:SIMS, DARANEISHA ARIEL
Entity type:Individual
Prefix:
First Name:DARANEISHA
Middle Name:ARIEL
Last Name:SIMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10796 FENWAY LN
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-6743
Mailing Address - Country:US
Mailing Address - Phone:225-221-8788
Mailing Address - Fax:
Practice Address - Street 1:10796 FENWAY LN
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-6743
Practice Address - Country:US
Practice Address - Phone:225-221-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver