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Stacy Lanell Tidd, MSN/ED,FNP-BC
Family Nurse Practitioner in Templeton, California
NPI 1356125959

Stacy Lanell Tidd is a Family Nurse Practitioner based in Templeton, CA and is specialized in Family. Stacy Lanell Tidd practices in Templeton, CA and has the professional credentials of MSN/ED,FNP-BC. The NPI Number for Stacy Lanell Tidd is 1356125959 and holds a License No. 95026799 (California).

The current practice location address for Stacy Lanell Tidd is 470 Lysandra Ct, Templeton, CA and can be reached out via phone at 805-423-5259.

Location: 470 Lysandra Ct, Templeton, CA, 93465-9767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356125959
Provider Name
Stacy Lanell Tidd
Credential
MSN/ED,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
470 Lysandra Ct, Templeton, CA, 93465-9767
Phone Number
805-423-5259
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
470 Lysandra Ct
City
Templeton
State
California
Zip
93465-9767
Phone Number
805-423-5259
Fax Number
person
Provider Business Mailing Address Details
Address
470 Lysandra Ct
City
Templeton
State
California
Zip
93465-9767
Phone Number
805-423-5259
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95026799 (California)
Definition
Definition to come...
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