Individual provider · Type 1 NPI

Timothy Peter Heavern, RN

Registered Nurse · Erie, PA

NPI number 1740126002 Active

Practice location

201 State St
Erie, PA 16550-0002

Mailing address

3678 Howard Rd
Hamburg, NY 14075-2256

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN813306 (PA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1740126002

Timothy Peter Heavern, RN's National Provider Identifier is 1740126002, issued on Apr 28, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Erie, PA. The record was last updated on Apr 28, 2026.