Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Andersen

Individual provider School Registered Nurse · NPI 1184470296

Tim Andersen is a School Registered Nurse in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

555 Warren Rd
Ithaca, NY 14850-1862
Phone: (607) 257-1555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 645303 (NY)

Record details

NPI number1184470296
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address555 Warren Rd, Ithaca, NY 14850-1862

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