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MS. PENELOPE PIPHO ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2321 W MOREHEAD ST STE 102, CHARLOTTE, NC 28208-5145
(704) 335-0151
Mailing address
2000 16TH ST, DENVER, CO 80202-5117

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
960068
NC
363LA2100X
Acute Care Nurse Practitioner
960068
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84635
BCBS
NC
Enumeration date
06/12/2006
Last updated
04/16/2024
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