Provider Demographics
NPI:1003880790
Name:ZIMMERLY, ANNA LEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:LEE
Last Name:ZIMMERLY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:LEE
Other - Last Name:ZIMMERLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5133 BOTSFORD DR
Mailing Address - Street 2:N/A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4506
Mailing Address - Country:US
Mailing Address - Phone:614-860-1151
Mailing Address - Fax:
Practice Address - Street 1:5133 BOTSFORD DR
Practice Address - Street 2:N/A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4506
Practice Address - Country:US
Practice Address - Phone:614-860-1151
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN243821163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse