Provider Demographics
NPI:1629203211
Name:ZIMMER, BARBARA (LPN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:ZIMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:218 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2610
Mailing Address - Country:US
Mailing Address - Phone:610-638-9196
Mailing Address - Fax:
Practice Address - Street 1:218 HOLLY ST
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-2610
Practice Address - Country:US
Practice Address - Phone:610-638-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN096573L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse