Provider Demographics
NPI:1710243274
Name:RIMMER, ELIZABETH DICKMAN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:DICKMAN
Last Name:RIMMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 HAND AVE
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-4191
Mailing Address - Country:US
Mailing Address - Phone:251-239-8198
Mailing Address - Fax:251-239-8183
Practice Address - Street 1:2305 HAND AVE
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-4191
Practice Address - Country:US
Practice Address - Phone:251-239-8198
Practice Address - Fax:251-239-8183
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-115034363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP93440197OtherARNP
FL1710243274OtherNPI