MARY A TIMMERMAN FNP
NPI 1427485465
Nurse Practitioner - Primary Care in Petaluma, CA

Active since October 05, 2013
715 SOUTHPOINT BLVD, PETALUMA, CA 94954(707) 778-6019 Get Directions Write a Review

NPPES record last updated: October 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary A Timmerman Fnp NPPES

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

MARY A TIMMERMAN FNP (NPI 1427485465) is an individual primary care provider in Petaluma, California, licensed in California (18181) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1427485465
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY A TIMMERMANCredential: FNP
Location Address715 SOUTHPOINT BLVDPetaluma, CA 94954-6835
Mailing Address69 Plata CtNovato, CA 94947-3731 · (415) 408-3689
Sole ProprietorYes
Enumeration DateOctober 5, 2013
NPI 1427485465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 18181
715 SOUTHPOINT BLVD, Petaluma, CA 94954

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
715 SOUTHPOINT BLVD, SUITE C
PETALUMA, CA 94954
Nurse Practitioner (Obstetrics & Gynecology)
715 SOUTHPOINT BLVD, SUITE C
PETALUMA, CA 94954
Internal Medicine (Nephrology)
715 SOUTHPOINT BLVD, SUITE C
PETALUMA, CA 94954
Internal Medicine (Nephrology)
715 SOUTHPOINT BLVD, SUITE C
PETALUMA, CA 94954

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 Mary Timmerman's NPI number?

The NPI number for Mary Timmerman is 1427485465. It was assigned to this individual provider in the NPPES registry on October 5, 2013.

Where is Mary Timmerman located?

Mary Timmerman practices at 715 Southpoint Blvd, Petaluma, CA 94954. The listed phone number is (707) 778-6019.

What is Mary Timmerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mary Timmerman was last updated on October 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.