Provider Demographics
NPI:1386055911
Name:DOWNING, TIMOTHY DONALD (RN)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:DONALD
Last Name:DOWNING
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-1928
Mailing Address - Country:US
Mailing Address - Phone:319-400-0616
Mailing Address - Fax:
Practice Address - Street 1:1149 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-1928
Practice Address - Country:US
Practice Address - Phone:319-400-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA129339163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse