Timothy Deters in Madison - Licensed Practical Nurse
Timothy Deters - NPI 1619136264
Timothy Deters is a Licensed Practical Nurse in Madison, Wisconsin. Timothy Deters practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Timothy Deters is 1619136264. The last update date is 2008-06-07.
Timothy Deters's current location address is 2500 Overlook Ter, Madison, Wisconsin. You can contact this provider via phone number 6082807110. The mailing address for Timothy Deters is 2500 Overlook Ter, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Deters |
|---|---|
| Address | 2500 Overlook Ter, Madison, Wisconsin |
| Phone Number | 6082807110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1619136264 |
|---|---|
| Provider Enumeration Date | 2008-06-07 |
| Last Updated Date | 2008-06-07 |
Provider Mailing Address Detail
| Address | 2500 Overlook Ter |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537052254 |
| Phone Number | 6082807110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 31514-31 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identification code assigned to Timothy Deters by the Centers for Medicare & Medicaid Services?
The Timothy Deters has been issued the NPI (National Provider Identifier) 1619136264. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy Deters is geographically located?
The Timothy Deters is physically situated at the following location: 2500 Overlook Ter, Madison, WI, 537052254.
What is Timothy Deters's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy Deters is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.
When was the Timothy Deters's 1619136264 issued?
The Timothy Deters's 1619136264 was issued on 2008-06-07.
As of what date were the Timothy Deters's details last updated?
The information pertaining to the Timothy Deters, including its address, specialty, and other details, was most recently updated on 2008-06-07.