MEDICARE: DR. SAMJANA TIMSHINA DNP, 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	363LP2300X	Primary Care Nurse Practitioner	0037449	OH

General Provider Information

NPI Number	:	1891516480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMJANA TIMSHINA DNP, APRN

Provider Business Mailing Address
First Line	:	1740 LANGDON FARM RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-1157
Country	:	US
Telephone Number	:	513-631-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 LANGDON FARM RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-1157
Country	:	US
Telephone Number	:	513-631-7100
Fax Number	:

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

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	10/17/2024

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