Healthcare Provider Details

I. General information

NPI: 1922070994
Provider Name (Legal Business Name): LEANN L ZIMMERMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 240TH AVE
HAYS KS
67601-9810
US

IV. Provider business mailing address

1924 240TH AVE
HAYS KS
67601-9810
US

V. Phone/Fax

Practice location:
  • Phone: 785-650-2353
  • Fax: 800-398-3421
Mailing address:
  • Phone: 785-650-2353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number44280
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number74044
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: