Individual provider · Type 1 NPI
Timothy O. Gates, FNP-BC
Family Nurse Practitioner · Southfield, MI
NPI number
1487155024
Active
Practice location
16250 Northland Dr Ste 369
Southfield, MI 48075-1524
Fax (248) 487-9410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704297139 (MI) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1487155024
Timothy O. Gates, FNP-BC's National Provider Identifier is 1487155024, issued on Feb 27, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Jan 23, 2020.