Provider Demographics
NPI:1932428075
Name:MARGARET D. ZIMMERMAN ARNP,PLLC
Entity Type:Organization
Organization Name:MARGARET D. ZIMMERMAN ARNP,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-339-8225
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001995261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00477968OtherRRM
WA9644741Medicaid
WA8023ZIOtherREGENCE
WA5251551OtherAETNA
WA9644741Medicaid
WA5251551OtherAETNA