Troy Arthur Zimmerman, RN
Individual provider Active NPI Registered Nurse · Adell, WI
NPI 1346545522 · NPPES record last updated Jan 19, 2011
Key facts
- NPI
- 1346545522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 151133-030 (WI)
- Practice address
- 324 Edgewood Ave
Adell, WI 53001-1106 - Phone
- (920) 207-2827
- NPI assigned
- Jan 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151133-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 151133-030 | WI | Yes |
Addresses
Primary practice location
324 Edgewood Ave
Adell, WI 53001-1106
Mailing address
324 Edgewood Ave
Adell, WI 53001-1106
Phone (920) 207-2827
Other providers in Adell, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.