Nedra G Tidwell in Azle - Licensed Vocational Nurse
Nedra G Tidwell - NPI 1790959252
Nedra G Tidwell is a Licensed Vocational Nurse in Azle, Texas. Nedra G Tidwell practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Nedra G Tidwell is 1790959252. The last update date is 2008-04-16.
Nedra G Tidwell's current location address is 7529 Portwood Rd, Azle, Texas. You can contact this provider via phone number 8174445665 and fax number 8174449115. The mailing address for Nedra G Tidwell is 7529 Portwood Rd, Azle, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nedra G Tidwell |
|---|---|
| Address | 7529 Portwood Rd, Azle, Texas |
| Phone Number | 8174445665 |
| Fax Number | 8174449115 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790959252 |
|---|---|
| Provider Enumeration Date | 2008-04-16 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 7529 Portwood Rd |
|---|---|
| City | Azle |
| State | Texas (TX) |
| Post Code | 76020 |
| Phone Number | 8174445665 |
| Fax Number | 8174449115 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | 28761 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from |
|
Post Comment/ Review Below
What is the Nedra G Tidwell's 1790959252?
The Nedra G Tidwell's NPI (National Provider Identifier) Number is 1790959252. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nedra G Tidwell is physically located?
The Nedra G Tidwell is physically situated at the following address: 7529 Portwood Rd, Azle, TX, 76020.
What is Nedra G Tidwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nedra G Tidwell is Licensed Vocational Nurse, and the taxonomy code that categorizes this field of expertise is 164X00000X.
On what date did Nedra G Tidwell receive its 1790959252 assignment from the Centers for Medicare & Medicaid Services?
The Nedra G Tidwell was assigned its 1790959252 on 2008-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Nedra G Tidwell's information last updated?
The Nedra G Tidwell's information was last updated on 2008-04-16.