Individual
NICOLE LYNN TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 UNIVERSITY AVE, DES MOINES, IA 50311-4516
(515) 271-2011
Mailing address
1925 WINDING HILL RD APT 913, DAVENPORT, IA 52807-1321
(563) 505-0181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
114351
IA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/27/2022
Last updated
05/09/2023
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