Healthcare Provider Details

I. General information

NPI: 1619639028
Provider Name (Legal Business Name): YUVA TIMSINA NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 CALIFORNIA AVE
AVALON PA
15202-2706
US

IV. Provider business mailing address

824 CALIFORNIA AVE
AVALON PA
15202-2706
US

V. Phone/Fax

Practice location:
  • Phone: 412-766-3232
  • Fax: 412-766-4320
Mailing address:
  • Phone: 412-766-3232
  • Fax: 412-766-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP024402
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: