Provider Demographics
NPI:1881247732
Name:TIMPLE, DANIELLE EILEEN (CNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:EILEEN
Last Name:TIMPLE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9195 STATE ROUTE 119 W
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-9526
Mailing Address - Country:US
Mailing Address - Phone:937-557-5657
Mailing Address - Fax:513-230-2024
Practice Address - Street 1:9195 STATE ROUTE 119 W
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-9526
Practice Address - Country:US
Practice Address - Phone:937-557-5657
Practice Address - Fax:513-230-2024
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily