MEDICARE: MS. SUZANNE MARIE ZIMMERMANN CRNP

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
1	363LA2200X	Adult Health Nurse Practitioner	R083493	MD

General Provider Information

NPI Number	:	1710249511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUZANNE MARIE ZIMMERMANN CRNP

Provider Business Mailing Address
First Line	:	166 DEFENSE HWY STE 101
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-8921
Country	:	US
Telephone Number	:	410-224-3390
Fax Number	:	410-224-3370

Provider Business Practice Location Address
First Line	:	166 DEFENSE HWY
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-8919
Country	:	US
Telephone Number	:	410-224-3390
Fax Number	:	410-224-3370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	02/26/2025

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