Individual
MARK G ZIMMERSCHIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7200
(816) 404-6828
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7200
(816) 404-6828
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
086687
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29567031
BCBS OF KC INDIVID #
—
05
—
423849504
—
MO
Enumeration date
02/17/2006
Last updated
12/23/2020
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