Katie Crain Zimmerman in Annandale - Licensed Practical Nurse

Katie Crain Zimmerman - NPI 1639154099

Katie Crain Zimmerman is a Licensed Practical Nurse in Annandale, Virginia. Katie Crain Zimmerman practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Katie Crain Zimmerman is 1639154099. The last update date is 2018-03-17.

Katie Crain Zimmerman's current location address is 3301 Woodburn Rd Ste 107, Annandale, Virginia. You can contact this provider via phone number 7038760437 and fax number 7038760722. The mailing address for Katie Crain Zimmerman is 3301 Woodburn Rd Ste 107, Annandale, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Katie Crain Zimmerman
Address 3301 Woodburn Rd Ste 107, Annandale, Virginia
Phone Number 7038760437
Fax Number 7038760722
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1639154099
Provider Enumeration Date 2005-12-08
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 3301 Woodburn Rd Ste 107
City Annandale
State Virginia (VA)
Post Code 220031297
Phone Number 7038760437
Fax Number 7038760722

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 3643
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1431567 LA --

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FAQs about Katie Crain Zimmerman

What is the unique 10-digit identifier code assigned to Katie Crain Zimmerman by the Centers for Medicare & Medicaid Services?

The Katie Crain Zimmerman has been issued the NPI (National Provider Identifier) 1639154099 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Katie Crain Zimmerman is physically located?

The Katie Crain Zimmerman is physically situated at the following address: 3301 Woodburn Rd Ste 107, Annandale, VA, 220031297.

What is Katie Crain Zimmerman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Katie Crain Zimmerman is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639154099 to Katie Crain Zimmerman?

The Katie Crain Zimmerman received its 1639154099 assignment from the Centers for Medicare & Medicaid Services on 2005-12-08.

As of what date were the details related to Katie Crain Zimmerman most recently updated or revised?

The information pertaining to Katie Crain Zimmerman, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-17.

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