Individual provider · Type 1 NPI

Fonta Marina Zimm

Nurse Practitioner · Duluth, MN

NPI number 1295612877 Active

Practice location

1200 Kenwood Ave
Duluth, MN 55811-4199

Mailing address

1618 Maryland Ave S
St. Louis Park, MN 55426-2024

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XIDK (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295612877

Fonta Marina Zimm's National Provider Identifier is 1295612877, issued on Aug 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Duluth, MN. The record was last updated on Aug 18, 2025.