Individual
KAYLA ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
10 SAINT CLARE CT STE 100, WASHINGTON, IL 61571-9239
(309) 886-4000
(309) 886-4101
Mailing address
10 SAINT CLARE CT STE 100, WASHINGTON, IL 61571-9239
(309) 886-4000
(309) 886-4101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041412855
IL
363L00000X
Nurse Practitioner
Primary
209017497
IL
Other
Enumeration date
04/12/2018
Last updated
05/07/2019
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