person
Randy Tidwell, APN
Family Nurse Practitioner in Portland, Tennessee
NPI 1164661674

Randy Tidwell is a Family Nurse Practitioner based in Portland, TN and is specialized in Family. Randy Tidwell practices in Portland, TN and has the professional credentials of APN. The NPI Number for Randy Tidwell is 1164661674 and holds a License No. 13982 (Tennessee).

The current practice location address for Randy Tidwell is 421 N Broadway, Portland, TN and can be reached out via phone at 615-323-1020 and via fax at 615-323-1021.

Location: 421 N Broadway, Portland, TN, 37148-0507
person
Provider Profile Details
NPI Number
1164661674
Provider Name
Randy Tidwell
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
421 N Broadway, Portland, TN, 37148-0507
Phone Number
615-323-1020
Fax Number
615-323-1021
Provider Enumeration Date
02/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
421 N Broadway
City
State
Zip
37148-1750
Phone Number
615-323-1020
Fax Number
615-323-1021
person
Provider Business Mailing Address Details
Address
421 N Broadway
City
State
Zip
37148-1750
Phone Number
615-323-1020
Fax Number
615-323-1021
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
13982 (Tennessee)
Definition
Definition to come...
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