Individual provider · Type 1 NPI

Timothy Milton Fain, NP

Nurse Practitioner · Charlotte, NC

NPI number 1417969809 Active

Practice location

1350 S Kings Dr
Charlotte, NC 28207-2134

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-1255
  • 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 · (704) 355-1813
  • 1225 Harding Pl, Ste 3100, Charlotte, NC 28204-2826 · (704) 355-8686

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5001443 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417969809

Timothy Milton Fain, NP's National Provider Identifier is 1417969809, issued on Aug 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on May 4, 2023.