Basic Information
Provider Information
NPI: 1699107821
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TIMLIN
FirstName: PATTI
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5450 FRANTZ RD STE 360
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164141
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7450 HOSPITAL DR STE 290
Address2:  
City: DUBLIN
State: OH
PostalCode: 430169641
CountryCode: US
TelephoneNumber: 6145668883
FaxNumber: 6145668149
Other Information
ProviderEnumerationDate: 07/30/2013
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN.CNP.14831OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home