SUSAN E ZIMMERMAN CRNP NPI 1467558528

NPI Information

NPI: 1467558528
Provider Name: SUSAN E ZIMMERMAN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
51 NORTH 39TH STREET
4 PHI
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-9189
Get Directions

Susan E Zimmerman, CRNP is a family nurse practitioner in Philadelphia, PA with 25 years of experience. Susan E Zimmerman, CRNP NPI is 1467558528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 NORTH 39TH STREET
4 PHI
PHILADELPHIA, PA
ZIP 19104-640
Phone: (215) 662-9189
Fax: (215) 243-4612

The NPI 1467558528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 9/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	26NJ00002900	NEW JERSEY	No
2	363LF0000X	Nurse Practitioner	Family	VP006131B	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P24766	MEDICARE UPIN	NEW JERSEY
2	045460	MEDICARE PIN	PENNSYLVANIA
3	054640AFE	MEDICARE PIN	NEW JERSEY
4	8784108	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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