Healthcare Provider Details

I. General information

NPI: 1295521144
Provider Name (Legal Business Name): RACHEL TERRY TIMM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

2362 GRANITE CIR NW
ROCHESTER MN
55901-3057
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-7831
  • Fax:
Mailing address:
  • Phone: 507-244-0548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0601X
TaxonomyOtorhinolaryngology & Head-Neck Registered Nurse
License Number2526536
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: