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Individual
TIMOTHY CHARLES HAUSE
Active
Individual
TIMOTHY CHARLES HAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
298008
NC
363LF0000X
Family Nurse Practitioner
0024192095
VA
363LF0000X
Family Nurse Practitioner
121949
WV
363LF0000X
Family Nurse Practitioner
Primary
5015488
NC
363LF0000X
Family Nurse Practitioner
81914
NM
363LF0000X
Family Nurse Practitioner
SP032084
PA
Other
Enumeration date
06/08/2018
Last updated
11/29/2025
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