Organization
ASHLEY ZIMDAHL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY M ZIMDAHL RN (REGISTERED NURSE)
(920) 602-6063
Entity
Organization
Contact information
Practice address
N2364 SUNSET DR, CAMPBELLSPORT, WI 53010-2038
(920) 602-6063
Mailing address
N2364 SUNSET DR, CAMPBELLSPORT, WI 53010-2038
(920) 602-6063
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
167706030
WI
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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