Provider Demographics
NPI:1740313527
Name:TIMBERS, CHARLES E JR (CRNP)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:TIMBERS
Suffix:JR
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1789 S BRADDOCK AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1881
Mailing Address - Country:US
Mailing Address - Phone:412-247-2310
Mailing Address - Fax:412-247-2373
Practice Address - Street 1:1789 S BRADDOCK AVE STE 410
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1881
Practice Address - Country:US
Practice Address - Phone:412-247-2310
Practice Address - Fax:412-247-2373
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001035A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner