ANGELA LYNN TIDEMANN

CANON CITY, CO
NPI1710623426
Former NameANGELA L. JIMERSON EAVES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0997260)
Enumeration Date2022-05-06
Last Update Date2023-04-25
Business Address
ANGELA LYNN TIDEMANN FNP
600 EVANS RD
CANON CITY, CO 81212
Phone number: 719-269-5058
Mailing Address
ANGELA LYNN TIDEMANN FNP
485 VANDERBILT COURT
COLORADO SPRINGS, CO 80906
Phone number: 719-431-3419
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