MR. Timothy Wayne Umphlett SR., NURSE PRACTITIONER
NPI #1922608686 in Windsor, North Carolina
Provider Information
- NPI Number
- 1922608686
- Entity Type
- Individual
- Name
- MR. Timothy Wayne Umphlett SR., NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Oct 30, 2020
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 104 RHODES AVE
- City
- Windsor
- State
- North Carolina
- ZIP Code
- 27983-9656
- Phone
- (252) 794-3042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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