Doctor Name: | JUNE N ZIMMERMAN |
NPI Number: | 1154320398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,CNP |
License Number: | R 88170-8 |
Business Practice Address: | 115 W 2nd St Graceville, MN - 562404803 |
Business Phone Number: | 3207487243 |
Business Fax Number: | 3207488204 |
Mailing Address: | 115 W 2nd St, GRACEVILLE |
State: | MN |
Postal Code: | 562404803 |
Phone Number: | 3207487243 |
Fax Number: | 3207488204 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R 88170-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |