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NPI Code Detail

MEDICARE: CATHERINE MARIE TIMBERLAKE NP

MEDICARE:   CATHERINE MARIE TIMBERLAKE  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner5015464NC

General Provider Information

NPI Number : 1821667833
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE MARIE TIMBERLAKE NP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 3022 EASTWAY DR STE 1-3
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-5642
Country : US
Telephone Number : 704-251-8228
Fax Number : 980-549-3830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 09/24/2025

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Directions to “ CATHERINE MARIE TIMBERLAKE NP” Practice Location

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