| NPI | 1417297433 |
|---|---|
| Professional Name | KAREN REBECCA TIDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 251259) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NC 251259) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |