Zimmerman, Amy

Zimmerman, Amy is an individual health care provider with primary practice located at 507 E Armstrong Ave , Peoria IL 61603-3201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Zimmerman, Amy can be contacted via phone (309) 681-6960.

Contact Information

Primary practice address
507 E Armstrong Ave Peoria IL 61603-3201
Phone: (309) 681-6960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 209009987 Illinois

Profile Details

NPI number 1396183786
LBN Legal business name Zimmerman, Amy
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Jun 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396183786 NPPES
Illinois MEDICAID 376000511

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