Individual provider · Type 1 NPI

Gwendolyn Marie Zimmerer

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1699400192 Active

Practice location

400 Bizzell Street
College Station, TX 77843-0001

Mailing address

4404 Bowman Dr
Colleyville, TX 76034-4323

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699400192

Gwendolyn Marie Zimmerer's National Provider Identifier is 1699400192, issued on Jul 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Jul 19, 2022.