Provider Demographics
NPI:1437845229
Name:ZIMMERMAN, KERI MELISSA (CPM RM)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:MELISSA
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:CPM RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10849 HUNTWICK ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-6995
Mailing Address - Country:US
Mailing Address - Phone:319-671-1812
Mailing Address - Fax:
Practice Address - Street 1:10849 HUNTWICK ST
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-6995
Practice Address - Country:US
Practice Address - Phone:319-671-1812
Practice Address - Fax:720-821-7380
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000219176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife