Timothy Bruhn, EMT
Individual provider Active NPI Home Health Agency · Anderson Island, WA
NPI 1619799962 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1619799962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 12207 Lake Josephine Blvd
Anderson Island, WA 98303-8709 - Phone
- (360) 348-3732
- NPI assigned
- Oct 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5526-6562-7034 | WA | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 5526-6562-7034 | WA | |
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
12207 Lake Josephine Blvd
Anderson Island, WA 98303-8709
Mailing address
9521 124TH Ave
Anderson Island, WA 98303-9713
Phone (360) 348-3732
Other providers in Anderson Island, WA
- Julie Gale Allison
- Shanae Marie Bezusko
- Stanley Green
- Laura L Johnston-Mack
- Kobernik Osteopathy Inc.
- Leaf Wellness Coaching
- Pierce County Fire Protection District #27
All providers in Anderson Island, WA · Home Health Agency in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.