Organization
TIMBER CREEK CONSULTANTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN BATTEN GLAZER ARNP (PRESIDENT/OWNER)
(352) 378-8934
Entity
Organization
Contact information
Practice address
6434 NW 42ND RD, GAINESVILLE, FL 32606-4280
(352) 378-8934
(352) 372-1169
Mailing address
6434 NW 42ND RD, GAINESVILLE, FL 32606-4280
(352) 378-8934
(352) 372-1169
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP450192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306748300
—
FL
01
—
E3107
BCBS
FL
01
—
P00209328
RR MEDICARE
FL
Enumeration date
04/07/2006
Last updated
12/15/2009
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