Provider Demographics
NPI:1730709668
Name:ZIMPFER, JUDITH MARY (RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:MARY
Last Name:ZIMPFER
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:MARY
Other - Last Name:ZIMPFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2300 MIAMI VALLEY DR STE 280
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-1294
Mailing Address - Country:US
Mailing Address - Phone:937-438-7834
Mailing Address - Fax:937-223-9413
Practice Address - Street 1:2300 MIAMI VALLEY DR STE 280
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-1294
Practice Address - Country:US
Practice Address - Phone:937-438-7834
Practice Address - Fax:937-223-9413
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD690133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered