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

Timothy Primrose, NP

Individual provider Nurse Practitioner · NPI 1578934402

Timothy Primrose, NP is a Nurse Practitioner in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (574) 335-4145
Fax: (574) 335-4146
Show map & directions

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

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 71005880A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71005880A (IN)

Record details

NPI number1578934402
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 19, 2015
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address707 Cedar St Ste 405, South Bend, IN 46617-2057

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