Individual
MS. FROUKJE JEANNETTE TIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
74 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 910-3019
(508) 910-3055
Mailing address
74 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 910-3019
(508) 910-3055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN153993
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP0304
MEDICARE B PROVIDER #
—
Enumeration date
06/06/2012
Last updated
06/06/2012
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