Individual
MRS. BARBARA MARIE ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(208) 354-2383
Mailing address
PO BOX 375, VICTOR, ID 83455-0375
(208) 787-1956
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
55621
KS
367500000X
Certified Registered Nurse Anesthetist
CRNA00774
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-352
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200585860A
—
KS
Enumeration date
06/26/2007
Last updated
09/01/2021
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