MS. TONYA TIDWELL, PA-C
Physician Assistant
Active
Individual
NPI: 1558660472
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 10988 (MN) |
Frequently Asked Questions
NPI 1558660472 is the National Provider Identifier for MS. TONYA TIDWELL, PA-C, a Physician Assistant provider located in Mankato, MN. This NPI was enumerated on March 17, 2011.
MS. TONYA TIDWELL, PA-C practices at 1025 MARSH ST, Mankato, MN 56001.
Quick Facts
- NPI
- 1558660472
- Type
- Individual
- Enumerated
- Mar 17, 2011
- Last Updated
- Jan 30, 2024
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