Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ00237700 | NJ |
NPI | 1225260680 |
---|---|
Provider Name | Mrs. Sheryl Elizabeth Timpanelli |
First Address | Vineland, NJ 08360-6937 |
Second Address | Vineland, NJ 08360-6937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2009 |
Last Update Date | 19/08/2009 |