Individual
MELISSA L ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
(920) 433-6779
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704328814
MI
363L00000X
Nurse Practitioner
Primary
5815-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016009592
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
06/17/2014
Last updated
06/29/2023
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