Individual provider · Type 1 NPI

Timothy Deters, LPN

Licensed Practical Nurse · Madison, WI

NPI number 1619136264 Active

Practice location

2500 Overlook Ter
Madison, WI 53705-2254

Call (608) 280-7110 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X31514-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1619136264

Timothy Deters, LPN's National Provider Identifier is 1619136264, issued on Jun 7, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, WI. The record was last updated on Jun 7, 2008.