Provider Demographics
NPI:1598065054
Name:ZIMMER, COLLEEN MARGARET (RN, CNS)
Entity Type:Individual
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First Name:COLLEEN
Middle Name:MARGARET
Last Name:ZIMMER
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Gender:F
Credentials:RN, CNS
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Mailing Address - Street 1:1150 MONTREAL AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2393
Mailing Address - Country:US
Mailing Address - Phone:651-313-8080
Mailing Address - Fax:651-925-0610
Practice Address - Street 1:1150 MONTREAL AVE STE 107
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2393
Practice Address - Country:US
Practice Address - Phone:651-313-8080
Practice Address - Fax:651-925-0610
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2019-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR143245-7364SP0809X
MN270364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult