IndividualActive
Timothy Burnap, PA
NPI 1962409714 · Surgical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1962409714
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA00074 (RI)
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.