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Individual
MR. TIMOTHY HENRIQUE ANTHONY MADEIRA
Active
Individual
MR. TIMOTHY HENRIQUE ANTHONY MADEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP, APRN-CNS
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
R193426
MD
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
CS00100
MD
Other
Enumeration date
04/10/2012
Last updated
10/14/2020
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