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TIMOTHY DETERS LPN
NPI 1619136264
Licensed Practical Nurse in Madison, WI

Active since June 07, 2008
2500 OVERLOOK TER, MADISON, WI 53705(608) 280-7110 Get Directions Write a Review

NPPES record last updated: June 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Deters Lpn NPPES

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

TIMOTHY DETERS LPN (NPI 1619136264) is an individual licensed practical nurse in Madison, Wisconsin, licensed in Wisconsin (31514-31) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1619136264
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTIMOTHY DETERSCredential: LPN
Location Address2500 OVERLOOK TERMadison, WI 53705-2254
Mailing Address2500 Overlook TerMadison, WI 53705-2254
Phone(608) 280-7110
Sole ProprietorNo
Enumeration DateJune 7, 2008
✔ NPI 1619136264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 31514-31
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2500 OVERLOOK TER, Madison, WI 53705
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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.

MEGHANN BETH KRUEGER M.S.W.
Social Worker
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 295-1901
DR. MARIA CHARMAINE WOPAT PHARMD
Pharmacist
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
MS. LEAH ALLISON FINCH CAPSW
Social Worker (Clinical)
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
MRS. JENEA KATHLEEN STASSI BSN, WCC
Registered Nurse (Wound Care)
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
LINDSAY BERNING RN
Registered Nurse
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 280-7003
JACOB HENRY FITZSIMMONS
Registered Nurse
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 280-7110
LAYLIA JULIA YANG PHARMD
Pharmacist
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
DR. BEVERLY A PRIEFER PHD, APRN
Registered Nurse (Medical-Surgical)
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 280-7080

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 Deters's NPI number?

The NPI number for Timothy Deters is 1619136264. It was assigned to this individual provider in the NPPES registry on June 7, 2008.

Where is Timothy Deters located?

Timothy Deters practices at 2500 Overlook Ter, Madison, WI 53705. The listed phone number is (608) 280-7110.

What is Timothy Deters's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Timothy Deters was last updated on June 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.