MR. TIMOTHY JAMES EDEN CRNP NPI 1497936652

NPI Information

NPI: 1497936652
Provider Name: MR. TIMOTHY JAMES EDEN, CRNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: CHRISTIANA CARE HEALTH SERVICES INC

PECOS Registration: Yes

Address:
1601 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19805
Phone: (302) 994-2511
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MR. Timothy James Eden, CRNP is a critical care medicine nurse practitioner in Wilmington, DE with 17 years of experience. MR. Timothy James Eden, CRNP NPI is 1497936652. 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:

1601 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19805-917
Phone: (302) 994-2511

The NPI 1497936652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 3/17/2018.

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	163W00000X	Registered Nurse		L1-0031700	DELAWARE	No
2	363LA2200X	Nurse Practitioner	Adult Health	LB-0000204	DELAWARE	No
3	363LC0200X	Nurse Practitioner	Critical Care Medicine	LB-0000204	DELAWARE	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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