Most Relevant Information
Provider Data
| NPI Number: | 1003818758 |
| Provider Name: | TIMOTHY A CARLSON CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP005613B |
Most Important Dates
| Enumeration Date: | 08/12/2005 |
| Last Updated: | 04/29/2014 |
Provider Practice Location
2234 PERKIOMEN AVE
READING
PA
196061830
Practice Location Phone/Fax
| Phone: | 6103702511 |
| Fax: | 6103709348 |
Provider Mailing Location
2234 PERKIOMEN AVE
READING
PA
196061830
Provider Mailing Phone/Fax
| Phone: | 6103702511 |
| Fax: | 6103709348 |