MEDICARE: YUVA TIMSINA NP-C

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	SP024402	PA

General Provider Information

NPI Number	:	1619639028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUVA TIMSINA NP-C

Provider Business Mailing Address
First Line	:	824 CALIFORNIA AVE
Second Line	:
City	:	AVALON
State	:	PA
Zip	:	15202-2706
Country	:	US
Telephone Number	:	412-766-3232
Fax Number	:	412-766-4320

Provider Business Practice Location Address
First Line	:	824 CALIFORNIA AVE
Second Line	:
City	:	AVALON
State	:	PA
Zip	:	15202-2706
Country	:	US
Telephone Number	:	412-766-3232
Fax Number	:	412-766-4320

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

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	10/26/2021

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