| NPI | 1003618026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY SVP, Finance/CFO Of Tidalhealth 410-912-6059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-05-30 |