Healthcare Provider Details

I. General information

NPI: 1548738479
Provider Name (Legal Business Name): LISA MARIE ZIMMERMAN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA MARIE CRESSEY

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 COLONIAL DRIVE
HELENA MT
59601
US

IV. Provider business mailing address

2755 COLONIAL DR
HELENA MT
59601-4926
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-7500
  • Fax: 406-884-2085
Mailing address:
  • Phone: 406-266-3186
  • Fax: 406-884-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number130880
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: