Individual
MS. MICHELLE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4820 LAKE ST, LAKE CHARLES, LA 70605-6010
(337) 310-7378
(337) 310-7382
Mailing address
PO BOX 4591, LAKE CHARLES, LA 70606-4591
(337) 310-7378
(337) 310-7382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
91959-3795
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034002
—
LA
Enumeration date
10/09/2006
Last updated
04/17/2009
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