ANGELA TIDWELL JANICEK

GOODLETTSVILLE, TN
NPI1740949668
Former NameANGELA MARIE TIDWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  31500)
Enumeration Date2021-12-08
Last Update Date2024-09-24
Business Address
ANGELA TIDWELL JANICEK APRN
327 CALDWELL DR STE 500
GOODLETTSVILLE, TN 37072-3410
Phone number: 615-239-1404
Mailing Address
ANGELA TIDWELL JANICEK APRN
327 CALDWELL DR STE 500
GOODLETTSVILLE, TN 37072-3410
Phone number: 615-239-1404
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