Tonya L Tidwell
NPI #1356850739 in Roscoe, Illinois
Provider Information
- NPI Number
- 1356850739
- Entity Type
- Individual
- Name
- Tonya L Tidwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 28, 2017
- Last Updated
- Mar 16, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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