MRS. NEDRA TIDWELL
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Active
Individual
NPI: 1790959252
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | No | 28761 (TX) |
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | Yes | 28761 (TX) |
Frequently Asked Questions
NPI 1790959252 is the National Provider Identifier for MRS. NEDRA TIDWELL, a Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child provider located in Azle, TX. This NPI was enumerated on April 16, 2008.
MRS. NEDRA TIDWELL practices at 7525 PORTWOOD RD, Azle, TX 76020.
Quick Facts
- NPI
- 1790959252
- Type
- Individual
- Enumerated
- Apr 16, 2008
- Last Updated
- Apr 16, 2008
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DR. STEVEN LONGACRE, M.D.
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