TIMOTHY RYDER NPI 1639592678

NPI Information

NPI: 1639592678
Provider Name: TIMOTHY RYDER
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
2525 DESALES AVE
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 493-6401
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Timothy Ryder is a gerontology nurse practitioner in Chattanooga, TN. Timothy Ryder NPI is 1639592678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2525 DESALES AVE
CHATTANOOGA, TN
ZIP 37404-161
Phone: (423) 493-6401

The enumeration date for this NPI number is 1/28/2014 and was last updated on 1/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	18283	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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