Individual provider · Type 1 NPI
Timothy Lyle Fellman, APRN, CNP
Family Nurse Practitioner · Duluth, MN
NPI number
1376014084
Active
Practice location
400 E 3rd St
Duluth, MN 55805-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10616 (MN) |
| Family Nurse Practitioner | 363LF0000X | 14478-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376014084
Timothy Lyle Fellman, APRN, CNP's National Provider Identifier is 1376014084, issued on Dec 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duluth, MN. The record was last updated on Sep 15, 2023.