Provider Demographics
NPI:1710243274
Name:RIMMER, ELIZABETH DICKMAN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:DICKMAN
Last Name:RIMMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191178
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619
Mailing Address - Country:US
Mailing Address - Phone:251-445-4440
Mailing Address - Fax:251-445-4435
Practice Address - Street 1:5675 THREE NOTCH RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619
Practice Address - Country:US
Practice Address - Phone:251-445-4440
Practice Address - Fax:251-445-4435
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9340197363LP0200X
AL1-115034363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1710243274OtherNPI
FLARNP93440197OtherARNP