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

Timothy Joseph Petipren

Individual provider Registered Nurse · NPI 1497353908

Timothy Joseph Petipren is a Registered Nurse in Scottville, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

205 S Columbia Ave
Scottville, MI 49454-1205
Phone: (231) 510-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704244882 (MI)

Record details

NPI number1497353908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020
Mailing address205 S Columbia Ave, Scottville, MI 49454-1205

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