Provider Demographics
NPI:1962737189
Name:ZIMMERMAN, SARA LYNN (CNP)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LYNN
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:SALLIE
Other - Middle Name:
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5130 BRADENTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7067
Mailing Address - Country:US
Mailing Address - Phone:614-734-1100
Mailing Address - Fax:614-734-1900
Practice Address - Street 1:5130 BRADENTON AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7067
Practice Address - Country:US
Practice Address - Phone:614-734-1100
Practice Address - Fax:614-734-1900
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA11054-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily