ALEXA TIDWELL

NEW YORK, NY
NPI1699545541
Former NameALEXA GRIGELY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NY  353855)
Enumeration Date2024-01-02
Last Update Date2026-03-19
Business Address
ALEXA TIDWELL FNP-BC
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-257-3034
Mailing Address
ALEXA TIDWELL FNP-BC
133 STERLING PL APT 1D
BROOKLYN, NY 11217-3381
Phone number: 860-670-7525
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