person
Ivy Tidwell Prothro, FNP-BC
Family Nurse Practitioner in Bethesda, Maryland
NPI 1811529381

Ivy Tidwell Prothro is a Family Nurse Practitioner based in Bethesda, MD and is specialized in Family. Ivy Tidwell Prothro practices in Bethesda, MD and has the professional credentials of FNP-BC. The NPI Number for Ivy Tidwell Prothro is 1811529381 and holds a License No. R241507 (Maryland).

The current practice location address for Ivy Tidwell Prothro is 4701 Sangamore Rd Ste S207, Bethesda, MD and can be reached out via phone at 202-684-7176.

Location: 4701 Sangamore Rd Ste S207, Bethesda, MD, 20816-2529
person
Provider Profile Details
NPI Number
1811529381
Provider Name
Ivy Tidwell Prothro
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4701 Sangamore Rd Ste S207, Bethesda, MD, 20816-2529
Phone Number
202-684-7176
Fax Number
Provider Enumeration Date
02/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4701 Sangamore Rd Ste S207
City
State
Zip
20816-2529
Phone Number
202-684-7176
Fax Number
person
Provider Business Mailing Address Details
Address
4701 Sangamore Rd Ste S207
City
State
Zip
20816-2529
Phone Number
202-684-7176
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R241507 (Maryland)
Definition
Definition to come...
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