EMILY TIDWELL

PORTLAND, TN
NPI1588691117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  10971)
Enumeration Date2006-06-27
Last Update Date2012-08-03
Business Address
-- EMILY TIDWELL NP
421 N BROADWAY
PORTLAND, TN 37148-1750
Phone number: 615-323-1020
Mailing Address
-- EMILY TIDWELL NP
421 N BROADWAY PO BOX 507
PORTLAND, TN 37148-1750
Phone number: 615-323-1020
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