STACY TIDWELL, APRN
Nurse Practitioner - Women's Health
Active
Individual
NPI: 1265746820
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | A003421 (AR) |
| Nurse Practitioner - Women's Health | 363LW0102X | Yes | A003421 (AR) |
Frequently Asked Questions
NPI 1265746820 is the National Provider Identifier for STACY TIDWELL, APRN, a Nurse Practitioner - Women's Health provider located in Rogers, AR. This NPI was enumerated on August 5, 2010.
STACY TIDWELL, APRN practices at 4618 WILLOW RIDGE WAY, Rogers, AR 72758.
Quick Facts
- NPI
- 1265746820
- Type
- Individual
- Enumerated
- Aug 5, 2010
- Last Updated
- Apr 4, 2023
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