| NPI | 1427228816 |
|---|---|
| Other Name | KELLY ANN ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 192906) |
| 363L00000X Nurse Practitioner (Licence: AR Aoo5005) | |
| 363L00000X Nurse Practitioner (Licence: MS 901950) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-04-28 |