Individual
MR. TIMOTHY JAMES EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
540 S GOVERNORS AVE STE 100, DOVER, DE 19904-3530
(302) 526-1470
(302) 674-1398
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0031700
DE
363L00000X
Nurse Practitioner
Primary
LP-0010395
DE
363LA2200X
Adult Health Nurse Practitioner
LB-0000204
DE
363LC0200X
Critical Care Medicine Nurse Practitioner
LB-0000204
DE
Other
Enumeration date
11/16/2007
Last updated
08/16/2022
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