Individual
DR. TIMOTHY LEE ROESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP APRN NP--C
Contact information
Practice address
231 S ANDOVER RD, ANDOVER, KS 67002-7919
(316) 733-9355
Mailing address
231 S ANDOVER RD, ANDOVER, KS 67002-7919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-97312-082
KS
163W00000X
Registered Nurse
2013041956
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79973-082
KS
363LP2300X
Primary Care Nurse Practitioner
53-79973-082
KS
Other
Enumeration date
01/26/2019
Last updated
03/28/2022
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