Devries, Timothy Dale

Devries, Timothy Dale is an individual health care provider with primary practice located at 491 Meadow Ridge Ln , Hudson WI 54016-8742. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Devries, Timothy Dale can be contacted via phone (715) 386-3449.

Contact Information

Primary practice address
491 Meadow Ridge Ln Hudson WI 54016-8742
Phone: (715) 386-3449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R093520-1 Minnesota

Profile Details

NPI number 1760458764
LBN Legal business name Devries, Timothy Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers