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TIMOTHY JOHN HIETALA BSN RN
NPI 1376269670
Registered Nurse - Administrator in Detroit, MI

Active since October 18, 2022
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Timothy John Hietala Bsn Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JOHN HIETALA BSN RN (NPI 1376269670) is an individual administrator provider in Detroit, Michigan, licensed in Michigan (4704320232) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1376269670
Entity TypeIndividualMale
Primary Taxonomy163WA2000X
Provider Legal NameTIMOTHY JOHN HIETALACredential: BSN RN
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916
Phone(313) 576-1000
Sole ProprietorNo
Enumeration DateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1376269670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in MI · 4704320232
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Hietala's NPI number?

The NPI number for Timothy Hietala is 1376269670. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Timothy Hietala located?

Timothy Hietala practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Timothy Hietala's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Timothy Hietala was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.