Provider Demographics
NPI:1053347237
Name:TIMME, JULIE E (PA)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:TIMME
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4501 S 70TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4282
Mailing Address - Country:US
Mailing Address - Phone:402-489-3834
Mailing Address - Fax:402-489-5049
Practice Address - Street 1:4501 S 70TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4282
Practice Address - Country:US
Practice Address - Phone:402-489-3834
Practice Address - Fax:402-489-5049
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE450363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1754OtherMIDLANDS CHOICE
NE47049487112Medicaid
NE37342OtherBLUE CROSS BLUE SHIELD
NE086119Medicare PIN