Provider Demographics
NPI:1447696687
Name:JOYCE, TIMOTHY K (RN CNP)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:K
Last Name:JOYCE
Suffix:
Gender:M
Credentials:RN CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56283-2247
Mailing Address - Country:US
Mailing Address - Phone:507-637-2985
Mailing Address - Fax:507-637-3057
Practice Address - Street 1:1100 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:REDWOOD FALLS
Practice Address - State:MN
Practice Address - Zip Code:56283-2247
Practice Address - Country:US
Practice Address - Phone:507-637-2985
Practice Address - Fax:507-637-3057
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1705472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily