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Individual

EMILY ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, DNP, CPNP-AC

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-2608
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209023826
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP141343
TX

Other

Enumeration date
04/23/2019
Last updated
10/14/2024
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