Individual
LISA DENISE ZIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 225-2511
Mailing address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 225-2511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215547
OK
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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