Healthcare Provider Details

I. General information

NPI: 1811971385
Provider Name (Legal Business Name): DORIS PAULINE ZIMMERMAN MSN RN CNS-BC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 LITITZ PIKE
LANCASTER PA
17601-6522
US

IV. Provider business mailing address

1801 LITITZ PIKE
LANCASTER PA
17601-6522
US

V. Phone/Fax

Practice location:
  • Phone: 717-560-9060
  • Fax: 717-394-0505
Mailing address:
  • Phone: 717-560-9060
  • Fax: 717-394-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF000150
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number14503901
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: