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

Timothy John Hietala, BSNRN

Individual provider Administrator Registered Nurse · NPI 1376269670

Timothy John Hietala, BSNRN is an Administrator Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

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

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 4704320232 (MI)

Record details

NPI number1376269670
Entity typeIndividual (Type 1)
GenderMale
Credentials BSNRN
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

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