Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95008564 | CA |
NPI | 1003315854 |
---|---|
Provider Name | Chelsea Zimmerman |
First Address | Mission Viejo, CA 92691-6426 |
Second Address | Mission Viejo, CA 92691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2018 |
Last Update Date | 21/06/2018 |