Individual
CODY TIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
3637 SUTHERLAND RD, SHAKER HEIGHTS, OH 44122-5134
(419) 612-9315
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.438679
OH
Other
Enumeration date
04/26/2020
Last updated
07/26/2021
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