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Timathy Allen Tidwell
Licensed Practical Nurse in Greenville, Ohio
NPI 1770299935

Timathy Allen Tidwell is a Licensed Practical Nurse based in Greenville, OH. Timathy Allen Tidwell practices in Greenville, OH. The NPI Number for Timathy Allen Tidwell is 1770299935 and holds a License No. LPN117180MEDS (Ohio).

The current practice location address for Timathy Allen Tidwell is 600 Walnut St, Greenville, OH and can be reached out via phone at 937-548-6842.

Location: 600 Walnut St, Greenville, OH, 45331-1944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770299935
Provider Name
Timathy Allen Tidwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Walnut St, Greenville, OH, 45331-1944
Phone Number
937-548-6842
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RQ790093 01 OH OHIO DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
600 Walnut St
City
Greenville
State
Ohio
Zip
45331-1944
Phone Number
937-548-6842
Fax Number
person
Provider Business Mailing Address Details
Address
600 Walnut St
City
Greenville
State
Ohio
Zip
45331-1944
Phone Number
937-548-6842
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN117180MEDS (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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