1376795211 NPI number — SHANNEN ZIMMERMAN

Table of content: KATHRYN LYNNE FISHER NP (NPI 1568803468)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376795211 NPI number — SHANNEN ZIMMERMAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIMMERMAN
Provider First Name:
SHANNEN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376795211
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLSDALE
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82060-0010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-214-8162
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4172 COUNTY ROAD 214
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSDALE
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-214-8162
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)