Timothy James Eden, AGACNP-BC

Nurse Practitioner in Newark, DE. Individual provider (NPI-1).

NPI number1497936652

StatusActive

Last updated in NPPESOct 29, 2026

Details

NPI: 1497936652
Entity type: Individual (NPI-1)
Name: Mr. Timothy James Eden
Credential: AGACNP-BC
Sex: Male
Sole proprietor: No
Enumeration date: Nov 16, 2007
Certification date: Oct 29, 2026
Last updated: Oct 29, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	LP-0010395	DE	Yes
363LA2200X	Nurse Practitioner, Adult Health	LB-0000204	DE
363LC0200X	Nurse Practitioner, Critical Care Medicine	LB-0000204	DE
163W00000X	Registered Nurse	L1-0031700	DE

Practice location

4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021

Phone 302-623-4370 Â· Fax 302-623-4375

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530

Phone 302-480-1688 Â· Fax 302-480-9807

Other practice locations

540 S Governors Ave Ste 100
Dover, DE 19904-3530

Phone 302-526-1470 Â· Fax 302-674-1398

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