MEDICARE: MR. TIMOTHY WINLAND APRN

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
1	363LF0000X	Family Nurse Practitioner	35745	TN

General Provider Information

NPI Number	:	1366290538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY WINLAND APRN

Provider Business Mailing Address
First Line	:	1932 ALCOA HWY STE 150
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1532
Country	:	US
Telephone Number	:	865-305-7300
Fax Number	:	865-305-7311

Provider Business Practice Location Address
First Line	:	1932 ALCOA HWY STE 150
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1532
Country	:	US
Telephone Number	:	865-305-7300
Fax Number	:	865-305-7311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2024
Last Update Date	:	05/10/2024

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Directions to “ MR. TIMOTHY WINLAND APRN” Practice Location

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