TONYA TIDWELL

Nurse Practitioner - Family

Active Individual
NPI: 1356850739

Practice Address

4282 E ROCKTON RD
Roscoe, IL 61073

Phone: (779) 696-9000

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 041316348 (IL)
Nurse Practitioner - Family 363LF0000X Yes 209016801 (IL)

Frequently Asked Questions

NPI 1356850739 is the National Provider Identifier for TONYA TIDWELL, a Nurse Practitioner - Family provider located in Roscoe, IL. This NPI was enumerated on September 28, 2017.
TONYA TIDWELL practices at 4282 E ROCKTON RD, Roscoe, IL 61073.

Quick Facts

NPI
1356850739
Type
Individual
Enumerated
Sep 28, 2017
Last Updated
Mar 16, 2021

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