Individual
MRS. ROXANNE ELKINS TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
220 E. HARRIS, SAN ANGELO, TX 76903
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP111626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04298136
NCC
TX
05
—
155067502
—
TX
01
—
385696YKRY
MEDICARE
TX
Enumeration date
09/20/2006
Last updated
02/26/2019
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