ELIZABETH MARY TIMM SMITH FNP NPI 1922473578

NPI Information

Elizabeth Mary Timm Smith, FNP is a family nurse practitioner in Kenosha, WI. Elizabeth Mary Timm Smith, FNP NPI is 1922473578. 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:

8600 SHERIDAN RD
SUITE 600
KENOSHA, WI
ZIP 53143-506
Phone: (262) 605-6767

The NPI 1922473578 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 12/8/2015 and was last updated on 12/8/2015.

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:

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