Individual
MR. TIMOTHY D SEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650
(301) 475-6204
(301) 997-6507
Mailing address
25500 POINT LOOKOUT RD, BOX 527, LEONARDTOWN, MD 20650
(301) 475-6204
(301) 997-6507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28119695
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
R143440
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206403100
—
MD
01
—
430051192
MEDICARE RAILROAD
MD
Enumeration date
02/07/2006
Last updated
11/06/2009
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