| Doctor Name: | CHRISTINA TEEGARDEN ZIMMERMAN |
| NPI Number: | 1104124494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.,M.S.,CPNP |
| License Number: | F380788-1 |
| Business Practice Address: | 2711 Clover St Pittsford, NY - 145341049 |
| Business Phone Number: | 5854429271 |
| Business Fax Number: | |
| Mailing Address: | Po Box 93128, ROCHESTER |
| State: | NY |
| Postal Code: | 146928128 |
| Phone Number: | 5854429271 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | F380788-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |