Provider Demographics
NPI:1033413588
Name:ZIMMER, SARAH JANE (CRNA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:PIERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10382 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-4864
Mailing Address - Country:US
Mailing Address - Phone:612-702-9042
Mailing Address - Fax:
Practice Address - Street 1:525 W MAIN
Practice Address - Street 2:CENTRACARE HEALTH SYSTEM-MELROSE
Practice Address - City:MELROSE
Practice Address - State:MN
Practice Address - Zip Code:56352
Practice Address - Country:US
Practice Address - Phone:320-256-4231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-26
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 160987-9367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered