Healthcare Provider Details

I. General information

NPI: 1659513810
Provider Name (Legal Business Name): DENISE ZIMMERMAN ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LAKESIDE AVE E #1000
CLEVELAND OH
44114-1158
US

IV. Provider business mailing address

17785 MENNELL RD
GRAFTON OH
44044-9257
US

V. Phone/Fax

Practice location:
  • Phone: 440-812-7786
  • Fax: 855-247-8787
Mailing address:
  • Phone: 440-926-3882
  • Fax: 855-247-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberRN 122576 NS-08831
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: