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NPI Code Detail

MEDICARE: KATHERINE GRACE ZIMMER FNP

MEDICARE:   KATHERINE GRACE ZIMMER  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerF10250153NY

General Provider Information

NPI Number : 1689549834
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE GRACE ZIMMER FNP
Provider Business Mailing Address
First Line : 1073 HERITAGE PARK DR APT E
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2373
Country : US
Telephone Number : 585-645-7541
Fax Number :
Provider Business Practice Location Address
First Line : 158 SAWGRASS DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-4648
Country : US
Telephone Number : 585-275-2838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 12/10/2025

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Directions to “ KATHERINE GRACE ZIMMER FNP” Practice Location

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