Provider Demographics
NPI:1043072697
Name:TIMM BARNHART, REBEKAH LYNETTE (PMHNP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:LYNETTE
Last Name:TIMM BARNHART
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7365 BROADWAY AVE N
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-8923
Mailing Address - Country:US
Mailing Address - Phone:507-206-7485
Mailing Address - Fax:
Practice Address - Street 1:7365 BROADWAY AVE N
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-8923
Practice Address - Country:US
Practice Address - Phone:507-206-7485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11195363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health