Individual
COURTNEY TIMBERLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
33 NORTH AVE, SUITE 103, TALLMADGE, OH 44278-1925
(330) 633-3883
Mailing address
33 NORTH AVE, SUITE 103, TALLMADGE, OH 44278-1925
(330) 633-3883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
019421
OH
Other
Enumeration date
08/03/2016
Last updated
08/05/2016
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