Zimmerman, Madolynne

Zimmerman, Madolynne is an individual health care provider with primary practice located at 389 Congress St Rm 307, Portland ME 04101-3509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Zimmerman, Madolynne can be contacted via phone (207) 874-8784.

Contact Information

Primary practice address
389 Congress St Rm 307 Portland ME 04101-3509
Phone: (207) 874-8784
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R024186 Maine

Profile Details

NPI number 1639295389
LBN Legal business name Zimmerman, Madolynne
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639295389 NPPES
Maine Other 39359 HARVARD PILGRIM
Maine Other M2048200 HARVARD PILGRIM
Maine Other 3163434 HARVARD PILGRIM

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