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Timothy Robert Simic, NURSEPRACTITIONER
Family Nurse Practitioner in Louisville, Kentucky
NPI 1053904896

Timothy Robert Simic is a Family Nurse Practitioner based in Louisville, KY and is specialized in Family. Timothy Robert Simic practices in Louisville, KY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Timothy Robert Simic is 1053904896 and holds a License No. 1102450 (Kentucky).

The current practice location address for Timothy Robert Simic is 1357 Bardstown Rd, Louisville, KY and can be reached out via phone at 502-897-6443.

Location: 1357 Bardstown Rd, Louisville, KY, 40207-1903
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Provider Profile Details
NPI Number
1053904896
Provider Name
Timothy Robert Simic
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
1357 Bardstown Rd, Louisville, KY, 40207-1903
Phone Number
502-897-6443
Fax Number
Provider Enumeration Date
02/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100571750 05 KY
institution
Provider Business Practice Location Address Details
Address
1357 Bardstown Rd
City
State
Zip
40204-1353
Phone Number
502-897-6443
Fax Number
person
Provider Business Mailing Address Details
Address
1357 Bardstown Rd
City
State
Zip
40204-1353
Phone Number
502-897-6443
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
3015217 (Kentucky)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1102450 (Kentucky)
Definition
Definition to come...
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