MADOLYNNE ZIMMERMAN


Address: 389 Congress St, Rm 307, Portland, ME 04101-3509
Phone: 2078748784

MADOLYNNE ZIMMERMAN (NPI# 1639295389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639295389
Entity Type Individual
Full Name MADOLYNNE ZIMMERMAN
Credential PNP
Practice Address 389 Congress St
Rm 307
Portland
ME 04101-3509
Practice Telephone 2078748784
Mailing Telephone 2078748784
Enumeration Date 2007-03-22
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R024186 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME CIGNA M2048200 01
ME AETNA 3163434 01
ME HARVARD PILGRIM 39359 01

Office Location

Street Address 389 CONGRESS ST
RM 307
City PORTLAND
State ME
Zip Code 04101-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609910215 Kathleen M Martin Dental Hygienist 389 Congress St, Portland, ME 04101-3509 2007-02-16
1467768192 Clare Mathews Pritchard Registered Nurse 389 Congress St, Rm. 307, Portland, ME 04101-3566 2010-08-18
1457672131 Danielle Molla Leyonmark Registered Nurse 389 Congress St, Room 307, Portland, ME 04101-3566 2010-06-17
1902130743 City of Portland Maine, Hhs Phd Public Health or Welfare 389 Congress St, Room 307, Portland, ME 04101-3566 2009-09-28
1609089838 Constance Hughes Registered Nurse 389 Congress St, Room 307, Portland, ME 04101-3509 2007-05-07
1821201005 Janet Mordarski Nurse Practitioner 389 Congress St, Room 307, Portland, ME 04101-3509 2007-05-07
1699891903 Mary Anne Macdormand Registered Nurse 389 Congress St, Room 307, Portland, ME 04101-3509 2007-03-21
1245356518 Lynn Holaday Registered Nurse 389 Congress St, Room 307, Portland, ME 04101-3509 2007-03-21
1912023292 Abigail Leavitt Registered Nurse 389 Congress St, Room 307, Portland, ME 04101-3509 2007-03-21
1063537132 City of Portland Hhs, Phd Clinic/Center 389 Congress St, Room 307, Portland, ME 04101-3509 2007-03-20
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Providers in the same zip code

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1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477197705 Kelsey-jo Audrey Moss Nurse Practitioner 704b Ne 62nd Ave, Portland, OR 97213-4351 2019-10-30
1063054716 Lori P Balchik Nurse Practitioner 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 2019-10-15
1295273399 Shaudine Woody Nurse Practitioner 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 2017-02-08
1003239120 Iva Juric Nurse Practitioner 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 2014-01-24
1811249592 Pollee Hruby Brookings Nurse Practitioner 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 2012-10-05
1033470646 Chelsea Doherty Nurse Practitioner 14480 Sw 90th Ave, Portland, OR 97224 2012-05-31
1265699508 Mallory Johnson Nurse Practitioner 11790 Sw Barnes Rd. Blg A, Ste 140, Portland, OR 97225 2008-05-22
1053320804 Karen Elizabeth Caines Nurse Practitioner 96 Falmouth St, Portland, ME 04104-9300 2006-08-07
1649209982 Joanne M Perry Nurse Practitioner 901 Washington Ave Ste 100, Portland, ME 04103-2842 2006-06-30
1497377220 Erika Lynn Rodakowski Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-05-14
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Competitor

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City PORTLAND
Zip Code 04101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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