Randy Tidwell, APN
NPI #1164661674 in Portland, Tennessee
Provider Information
- NPI Number
- 1164661674
- Entity Type
- Individual
- Name
- Randy Tidwell, APN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APN
- Enumeration Date
- Feb 8, 2009
- Last Updated
- Aug 3, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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