Provider Demographics
NPI:1932806908
Name:ZIMMERMAN, SHARON D (RN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:D
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WINDJAMMER DR
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-1373
Mailing Address - Country:US
Mailing Address - Phone:551-204-2976
Mailing Address - Fax:631-454-7644
Practice Address - Street 1:101 WINDJAMMER DR
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-1373
Practice Address - Country:US
Practice Address - Phone:551-204-2976
Practice Address - Fax:631-454-7644
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11147700163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management