person
Anna Jane Tidwell
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1629777081

Anna Jane Tidwell is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Anna Jane Tidwell practices in Salt Lake City, UT. The NPI Number for Anna Jane Tidwell is 1629777081 and holds a License No. (Utah).

The current practice location address for Anna Jane Tidwell is 6486 S 1655 E, Salt Lake City, UT and can be reached out via phone at 801-680-4097.

Location: 6486 S 1655 E, Salt Lake City, UT, 84121-2527
person
Provider Profile Details
NPI Number
1629777081
Provider Name
Anna Jane Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
6486 S 1655 E, Salt Lake City, UT, 84121-2527
Phone Number
801-680-4097
Fax Number
Provider Enumeration Date
02/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6486 S 1655 E
City
State
Zip
84121-2527
Phone Number
801-680-4097
Fax Number
person
Provider Business Mailing Address Details
Address
6486 S 1655 E
City
State
Zip
84121-2527
Phone Number
801-680-4097
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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