Individual provider · Type 1 NPI

Timothy Robert Malinowski Jr., AGPCNP-BC

Gerontology Nurse Practitioner · Greenville, SC

NPI number 1740893593 Active

Practice location

1005 Grove Rd
Greenville, SC 29605-4630

Call (864) 455-6900 Map

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	24219 (SC)
Gerontology Nurse Practitioner Primary	363LG0600X	24219 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740893593

Timothy Robert Malinowski Jr., AGPCNP-BC's National Provider Identifier is 1740893593, issued on Aug 30, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on May 17, 2021.