Provider Demographics
NPI:1366290538
Name:WINLAND, TIMOTHY (APRN)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:WINLAND
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 ALCOA HWY STE 150
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1532
Mailing Address - Country:US
Mailing Address - Phone:865-305-7300
Mailing Address - Fax:865-305-7311
Practice Address - Street 1:1932 ALCOA HWY STE 150
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1532
Practice Address - Country:US
Practice Address - Phone:865-305-7300
Practice Address - Fax:865-305-7311
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35745363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily