Organization
ZIMELA WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM ZIMELA NP (CRNP)
(240) 362-7077
Entity
Organization
Contact information
Practice address
11602 BEDFORD RD NE, CUMBERLAND, MD 21502-6805
(240) 362-7077
(240) 362-7161
Mailing address
111 N CHASE ST, CUMBERLAND, MD 21502-2060
(240) 362-7077
(240) 362-7161
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
R201782
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R201782
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714007000
—
MD
Enumeration date
05/02/2018
Last updated
01/31/2022
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