Individual
MRS. IVELISSE B ZIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2910 BETTEN DR, CRETE, NE 68333-3084
(402) 826-2102
Mailing address
2910 BETTEN DR, CRETE, NE 68333-3084
(402) 826-2102
(402) 826-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001783
IA
363A00000X
Physician Assistant
Primary
1025
NE
363A00000X
Physician Assistant
346
WY
Other
Enumeration date
09/29/2006
Last updated
07/22/2019
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