NPI 1912272014 · live from the CMS NPI Registry
Sean Timpane, MD
Pediatrics, Hospice and Palliative Medicine in Boise, ID. National Provider Identifier 1912272014, active.
NPI record
| NPI | 1912272014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Hospice and Palliative Medicine 2080H0002X |
| Practice location | 305 E Jefferson St, Boise, ID 83712 |
| Practice phone | 208-381-7095 |
| Enumerated | March 21, 2012 |
| Last updated | July 2, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Pediatrics, Hospice and Palliative Medicine primary | 2080H0002X | m15265 (ID) |
| Pediatrics | 208000000X | ml60292919 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.