Active NPIIndividual providerSole proprietor

Ms. Andrea M Tidd, PA-C

Physician Assistant in Kittery, Maine

NPI Number1073873048
Practice location
Nbhc Portsmouth, 402 Goodrich Ave, Kittery, ME 03904
Fax
—
Last updated
January 6, 2025

Andrea Marie Tidd is a Physician Assistant based in Kittery, ME. Andrea Marie Tidd practices in Kittery, ME and has the professional credentials of PA-C. The NPI Number for Andrea Marie Tidd is 1073873048 and holds a License No. NPI1073873048. The current practice location address for Andrea Marie Tidd is Nbhc Portsmouth, 402 Goodrich Ave, Kittery, ME 03904 and can be reached out via phone at 603-430-2430.

Provider Profile Details

NPI Number
1073873048
Provider Name
Andrea Marie Tidd
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
Nbhc Portsmouth, 402 Goodrich Ave, Kittery, ME 03904
Phone Number
603-430-2430
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2012
Last Update Date
January 6, 2025
Certification Date
January 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Nbhc Portsmouth
402 Goodrich Ave
Kittery, ME 03904
State
Maine
Zip
03904
Phone Number
603-430-2430
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
Psc 80 Box 13414
Apo, AP 96367-0037
City
Apo
State
AP
Zip
96367-0037

License Information

License Number
NPI1073873048
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Kittery, ME

View all Physician Assistants in Kittery →

Frequently Asked Questions

What is the NPI number of Ms. Andrea M Tidd, PA-C?

The NPI number of Ms. Andrea M Tidd, PA-C is 1073873048. It was assigned on May 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Andrea M Tidd, PA-C?

Ms. Andrea M Tidd, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed under license number NPI1073873048.

Where does Ms. Andrea M Tidd, PA-C practice?

The practice location is Nbhc Portsmouth, 402 Goodrich Ave, Kittery, ME 03904. The office can be reached at 603-430-2430 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073873048 directly on the NPPES registry website.

Browse related providers