Individual
MRS. MIRANDA C ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1122 W ELM AVE, HERMISTON, OR 97838-6933
(541) 567-1750
Mailing address
1122 W ELM AVE, HERMISTON, OR 97838-6933
(541) 567-1750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09170089
OR
Other
Enumeration date
01/05/2018
Last updated
01/18/2018
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