Individual
MRS. FAWN ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
206 N BISMARK ST STE A, CONCORDIA, MO 64020-8101
(877) 344-3572
(866) 228-4492
Mailing address
819 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1515
(816) 330-6426
(660) 259-2440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015035378
MO
363LF0000X
Family Nurse Practitioner
AP8647
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420026294
—
MO
Enumeration date
10/07/2015
Last updated
05/16/2023
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