Healthcare Provider Details

I. General information

NPI: 1457289068
Provider Name (Legal Business Name): HANS TIMEUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5539 ALBIN DR
GREENACRES FL
33463-5975
US

IV. Provider business mailing address

5539 ALBIN DR
GREENACRES FL
33463-5975
US

V. Phone/Fax

Practice location:
  • Phone: 305-917-3943
  • Fax:
Mailing address:
  • Phone: 305-917-3943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11047253
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: