DIANNA KIDWELL, APRN, AGACNP-BC

Nurse Practitioner

Active Individual
NPI: 1851017974

Practice Address

1133 MEDICAL DR
Tyler, TX 75701

Phone: (903) 595-5486

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 705683 (TX)
Nurse Practitioner - Acute Care 363LA2100X No AP1097102 (TX)
Nurse Practitioner - Gerontology 363LG0600X No AP1097102 (TX)
Nurse Practitioner 363L00000X Yes AP1097102 (TX)

Frequently Asked Questions

NPI 1851017974 is the National Provider Identifier for DIANNA KIDWELL, APRN, AGACNP-BC, a Nurse Practitioner provider located in Tyler, TX. This NPI was enumerated on October 19, 2022.
DIANNA KIDWELL, APRN, AGACNP-BC practices at 1133 MEDICAL DR, Tyler, TX 75701.

Quick Facts

NPI
1851017974
Type
Individual
Enumerated
Oct 19, 2022
Last Updated
Jul 12, 2024

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