Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704269812 | MI |
N | 363LA2100X | Nurse Practitioner - Acute Care | 4704269812 | MI |
NPI | 1033633524 |
---|---|
Provider Name | Kim Ann Zawodni |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2017 |
Last Update Date | 18/01/2019 |