Provider Demographics
NPI:1235677683
Name:ZIMMER, AMBER LYNN (CNM, APRN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LYNN
Other - Last Name:ROSTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2032 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-5081
Mailing Address - Country:US
Mailing Address - Phone:307-262-5134
Mailing Address - Fax:331-204-1133
Practice Address - Street 1:2032 E 22ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-5081
Practice Address - Country:US
Practice Address - Phone:307-262-5134
Practice Address - Fax:331-204-1133
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY28533163W00000X
WY28533.1604367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse