ELLEN TIM NP NPI 1457435323

NPI Information

NPI: 1457435323
Provider Name: ELLEN TIM, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
5324 MCFARLAND RD
DURHAM, NC
ZIP 27707
Phone: (919) 687-4688
Get Directions

Ellen Tim, NP is an obstetrics and gynecology nurse practitioner in Durham, NC. Ellen Tim, NP NPI is 1457435323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5324 MCFARLAND RD
DURHAM, NC
ZIP 27707-865
Phone: (919) 687-4688

The enumeration date for this NPI number is 10/25/2006 and was last updated on 4/7/2010.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	68269	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2592633	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	Q68580	MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

NPI Synchronization or Removal

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