Provider Demographics
NPI:1902834781
Name:ZIMMERMAN, MARGARET D (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:D
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 PACIFIC AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2048
Mailing Address - Country:US
Mailing Address - Phone:360-339-8225
Mailing Address - Fax:360-867-0466
Practice Address - Street 1:2411 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2048
Practice Address - Country:US
Practice Address - Phone:360-339-8225
Practice Address - Fax:360-867-0466
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001995363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5251551OtherAETNA
WA8023ZIOtherREGENCE
WAP00477968OtherRRM
WA9644741Medicaid
WA5251551OtherAETNA
WA9644741Medicaid