Individual
REBECCA L TIMCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2614 MEMORIAL BLVD, A, CONNELLSVILLE, PA 15425-1405
(724) 603-3560
Mailing address
2614 MEMORIAL BLVD, A, CONNELLSVILLE, PA 15425-1405
(724) 603-3560
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012719
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027926200001
—
PA
Enumeration date
06/24/2013
Last updated
04/03/2014
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