Individual provider · Type 1 NPI

Tim Andersen

School Registered Nurse · Ithaca, NY

NPI number 1184470296 Active

Practice location

555 Warren Rd
Ithaca, NY 14850-1862

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X645303 (NY)

School Registered Nurse: Definition to come...

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About NPI 1184470296

Tim Andersen's National Provider Identifier is 1184470296, issued on Apr 29, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Ithaca, NY. The record was last updated on Apr 29, 2024.