Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1124620216 |
---|---|
Provider Name | Andrina Mary Timmins |
First Address | Kennewick, WA 99336-0602 |
Second Address | Kennewick, WA 99338-2909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2020 |
Last Update Date | 12/11/2020 |