Provider Demographics
NPI:1306931829
Name:ZIMMERLY, EVELYN HARKINS (CRNP)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:HARKINS
Last Name:ZIMMERLY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:720 FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1530
Mailing Address - Country:US
Mailing Address - Phone:412-826-1538
Mailing Address - Fax:
Practice Address - Street 1:1010 DELAFIELD RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1802
Practice Address - Country:US
Practice Address - Phone:412-360-3034
Practice Address - Fax:412-360-6887
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001516C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health