Individual
JAN ZIMMERMAN-COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4850 E BASELINE RD STE 118, MESA, AZ 85206-4626
(480) 461-0047
(480) 461-1103
Mailing address
4850 E BASELINE RD STE 118, MESA, AZ 85206-4626
(480) 461-0047
(480) 461-1103
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN090678
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN090678
AZ RNFA#
AZ
Enumeration date
02/27/2007
Last updated
07/08/2007
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