Individual provider · Type 1 NPI

Timothy James Eden, AGACNP-BC

Nurse Practitioner · Newark, DE

NPI number 1497936652 Active

Practice location

4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021

Call (302) 623-4370 Map

Fax (302) 623-4375

Mailing address

640 S. State Street, Mail Code 3055
Dover, DE 19901-3530

Other practice locations

  • 540 S Governors Ave Ste 100, Dover, DE 19904-3530 · (302) 526-1470

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XLP-0010395 (DE)
Adult Health Nurse Practitioner 363LA2200XLB-0000204 (DE)
Critical Care Medicine Nurse Practitioner 363LC0200XLB-0000204 (DE)
Registered Nurse 163W00000XL1-0031700 (DE)

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 1497936652

Timothy James Eden, AGACNP-BC's National Provider Identifier is 1497936652, issued on Nov 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, DE. The record was last updated on Oct 29, 2026.