Zimmerman, Katie Crain

Zimmerman, Katie Crain is an individual health care provider with primary practice located at 3301 Woodburn Rd Ste 107 , Annandale VA 22003-1297. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Zimmerman, Katie Crain can be contacted via phone (703) 876-0437.

Contact Information

Primary practice address
3301 Woodburn Rd Ste 107 Annandale VA 22003-1297
Phone: (703) 876-0437
Fax: (703) 876-0722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 03643 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024168384 Virginia

Profile Details

NPI number 1639154099
LBN Legal business name Zimmerman, Katie Crain
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639154099 NPPES
Louisiana MEDICAID 1431567

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