Provider Demographics
NPI:1477003010
Name:ZIMMERMAN, CLAIRE ELIZABETH (ND)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4738
Mailing Address - Country:US
Mailing Address - Phone:206-402-3174
Mailing Address - Fax:205-328-6066
Practice Address - Street 1:2705 E MADISON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4738
Practice Address - Country:US
Practice Address - Phone:206-402-3174
Practice Address - Fax:205-328-6066
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60694200175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA82-3031032OtherSTATE