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General NPI Number Information
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NPI Number | 1568288231
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Entity Type | Individual
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Provider Name | KENDRA ZIMMERMAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1701 48TH ST STE 150
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6746
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Country | US
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Telephone | 515-243-2888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71602
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City | CLIVE
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State | IA
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Zip | 50325-0602
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Country | US
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Telephone | 515-243-2057
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Fax | 515-244-5570
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A182129
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License Number State | IA
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