Provider Demographics
NPI:1255724324
Name:ZIMBELMAN, LINDA K (ADULT NURSE PRACTITI)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:ZIMBELMAN
Suffix:
Gender:F
Credentials:ADULT NURSE PRACTITI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 ESPLANADE #1
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-896-0386
Mailing Address - Fax:530-896-0389
Practice Address - Street 1:1645 ESPLANADE #1
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-896-0386
Practice Address - Fax:530-896-0389
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5322363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner