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NPI Code Detail

MEDICARE: TIMOTHY J NOLAN ANP-BC

MEDICARE: TIMOTHY J NOLAN ANP-BC
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
1363L00000XNurse Practitioner900213NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659457471
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY J NOLAN ANP-BC
Provider Business Mailing Address
First Line : PO BOX 1490
Second Line :
City : BOONE
State : NC
Zip : 28607-1490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MEETING ST STE 101
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3594
Country : US
Telephone Number : 828-608-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 12/21/2023

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Directions to “ TIMOTHY J NOLAN ANP-BC” Practice Location

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