| Doctor Name: | MS. KIMBERLY LYN ZEREN |
| NPI Number: | 1003813072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP- FAMILY |
| License Number: | R111875 |
| Business Practice Address: | 45 Thomas Johnson Dr Suite 109 Frederick, MD - 217024425 |
| Business Phone Number: | 3016961011 |
| Business Fax Number: | 3016961520 |
| Mailing Address: | 3100 Wyman Park Dr, BALTIMORE |
| State: | MD |
| Postal Code: | 212112803 |
| Phone Number: | 4103383500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 10/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R111875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |