Individual
KIRSTIE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
11511 CANTERWOOD BLVD STE 205, GIG HARBOR, WA 98332-5818
(253) 530-2663
(253) 530-2675
Mailing address
11511 CANTERWOOD BLVD STE 205, GIG HARBOR, WA 98332-5818
(253) 530-2663
(253) 530-2675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61261823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206634
—
WA
Enumeration date
04/07/2019
Last updated
09/21/2022
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