BRANDY ANN TIDWELL

PRESCOTT, AR
NPI1154672467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L40788)
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
Ms. BRANDY ANN TIDWELL LPN
1658 US HIGHWAY 371
PRESCOTT, AR 71857-7064
Phone number: 870-887-3660
Mailing Address
Ms. BRANDY ANN TIDWELL LPN
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655