Individual
DEBORAH WIMMER
Active
Individual
DEBORAH WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VP000315D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014618380001
—
PA
01
—
1488081
AETNA
PA
01
—
1845164
BLUE CROSS
PA
01
—
2701047000
KEYSTONE HEALTH PLAN EAST
PA
01
—
30027031
KEYSTONE MERCY HEALTH PLAN
PA
Enumeration date
05/11/2006
Last updated
10/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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