Individual
MR. NICOLAS J TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-1000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
371665
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019812
OH
367500000X
Certified Registered Nurse Anesthetist
2456
MN
Other
Enumeration date
11/13/2018
Last updated
11/02/2021
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