Provider Demographics
NPI:1760852354
Name:TIMPERMAN, LESLIE NURRE (RN)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:NURRE
Last Name:TIMPERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 KEMP RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-2644
Mailing Address - Country:US
Mailing Address - Phone:937-426-1522
Mailing Address - Fax:937-429-7517
Practice Address - Street 1:2942 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6306
Practice Address - Country:US
Practice Address - Phone:937-458-2549
Practice Address - Fax:937-429-7688
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.190168163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool