Most Relevant Information
Provider Data
| NPI Number: | 1003585993 |
| Provider Name: | TERESA KAY ZIMMER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | NURR16911 |
Most Important Dates
| Enumeration Date: | 09/13/2021 |
| Last Updated: | 09/13/2021 |
Provider Practice Location
3760 PIPER ST STE LL139
ANCHORAGE
AK
995084683
Practice Location Phone/Fax
| Phone: | 9075635006 |
| Fax: | 9075633217 |
Provider Mailing Location
PO BOX 4105
PORTLAND
OR
972084105
Provider Mailing Phone/Fax
| Phone: | 8669071068 |
| Fax: | 4259179141 |