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NPI Code Detail

MEDICARE: TERESA TIMMS NP

MEDICARE: TERESA TIMMS 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
1363LF0000XFamily Nurse PractitionerAP60883509WA

General Provider Information

NPI Number : 1083062186
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA TIMMS NP
Provider Business Mailing Address
First Line : 9010 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-4431
Country : US
Telephone Number : 951-509-8780
Fax Number : 951-276-6345
Provider Business Practice Location Address
First Line : 9010 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-4431
Country : US
Telephone Number : 951-509-8780
Fax Number : 951-276-6345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 03/10/2021

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Directions to “ TERESA TIMMS NP” Practice Location

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