IVY TIDWELL PROTHRO

BETHESDA, MD
NPI1811529381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R241507)
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
-- IVY TIDWELL PROTHRO FNP-BC
4701 SANGAMORE RD STE S207
BETHESDA, MD 20816-2529
Phone number: 202-684-7176
Mailing Address
-- IVY TIDWELL PROTHRO FNP-BC
4701 SANGAMORE RD STE S207
BETHESDA, MD 20816-2529
Phone number: 202-684-7167
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