IndividualActive
Madolynne Zimmerman, PNP
NPI 1639295389 · Pediatric Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1639295389
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- R024186 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
389 Congress St
Rm 307
Portland, ME 04101-3509
Phone: (207) 874-8784
Approximate (ZIP-level) locationGet directions
Mailing address
389 Congress St
Portland, ME 04101-3509
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.