Individual
MRS. KATIE CRAIN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3301 WOODBURN RD STE 107, ANNANDALE, VA 22003-1297
(703) 876-0437
(703) 876-0722
Mailing address
3301 WOODBURN RD STE 107, ANNANDALE, VA 22003-1297
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
03643
LA
363LF0000X
Family Nurse Practitioner
Primary
0024168384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431567
—
LA
Enumeration date
12/08/2005
Last updated
03/17/2018
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