Individual
MRS. MELISSA ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 E BROADWAY ST, HELENA, MT 59601-4905
(406) 457-4180
Mailing address
PO BOX 6369, HELENA, MT 59604-6369
(406) 447-2823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100707
MT
363L00000X
Nurse Practitioner
33155
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100707
MONTANA STATE LICENSE
MT
Enumeration date
12/05/2013
Last updated
03/28/2018
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