NPI 1740443746 · live from the CMS NPI Registry
Timothy Peter Brender, PPCNP-BC
Nurse Practitioner, Pediatrics in Jbphh, HI. National Provider Identifier 1740443746, active.
NPI record
| NPI | 1740443746 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 480 Central Ave Bldg 1750, Jbphh, HI 96860 |
| Practice phone | 808-471-5171 |
| Enumerated | July 9, 2008 |
| Last updated | November 1, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | RN572397 (CA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 18189 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.