Individual provider · NPI-1

Dr. Timothy Monari Nyarandi, MD

Family Medicine · Wahpeton, ND

NPI number1124222351
StatusActive
Last updated in NPPESNov 30, 2011

Details

NPI
1124222351
Entity type
Individual (NPI-1)
Name
Dr. Timothy Monari Nyarandi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2007
Last updated
Nov 30, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine10697NDYes
207Q00000X Family Medicine4301083834MI
390200000X Student in an Organized Health Care Education/Training Program4301083834MI
207Q00000X Family MedicinePT 10697ND

Practice location

332 2nd Ave N
Wahpeton, ND 58075-4528

Phone 701-642-7000 · Fax 701-642-7055

Mailing address

332 2nd Ave N
Wahpeton, ND 58075-4528

Phone 701-642-7000 · Fax 701-642-7055

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Wahpeton, ND