Individual
AMY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 681-6960
Mailing address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 681-6960
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209009987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376000511
—
IL
Enumeration date
06/07/2013
Last updated
06/07/2013
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