Healthcare Provider Details

I. General information

NPI: 1063205821
Provider Name (Legal Business Name): AMANDA ESTELLA ZIMA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK
WHEELING WV
26003-6300
US

IV. Provider business mailing address

138 NEWELL AVE EXT
SAINT CLAIRSVILLE OH
43950-1227
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3000
  • Fax:
Mailing address:
  • Phone: 724-312-3986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number124672
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: