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Individual

PAMELA A ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2559
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168835
AZ
01
P00623757
RAILROAD MEDICARE
AZ
Enumeration date
12/21/2006
Last updated
10/22/2008
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