Individual
MRS. PAULA S. ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK ST, HOSPITALIST PROGRAM, GLENS FALLS, NY 12801-4413
(518) 926-5918
(518) 926-5917
Mailing address
22 CRAWFORD DR, BALLSTON LAKE, NY 12019-2740
(518) 384-1507
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F4300063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02968032
—
NY
Enumeration date
07/04/2006
Last updated
04/07/2014
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