Timothy Shank Valid NPI

Individual provider · Family Nurse Practitioner · Valley Springs, CA

NPI

1053180265

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

95027207 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2023-12-28

Last updated

2023-12-28