Individual
MRS. KIMBERLY A ZIEDONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
190 W SPROUL RD, SPRINGFIELD, PA 19064-2027
(215) 442-5085
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN547361
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079366
AANA ID
PA
05
—
102123020
—
PA
01
—
P00738334
RAILROAD MEDICARE
PA
Enumeration date
05/07/2008
Last updated
12/30/2011
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