Tidwell Family Ventures LLC

NPI #1518106020 in Portland, Tennessee

Provider Information

NPI Number
1518106020
Entity Type
Organization
Organization Name
Tidwell Family Ventures LLC
Primary Specialty
Nurse Practitioner - Acute Care
Enumeration Date
Feb 8, 2009
Last Updated
Aug 5, 2009

Practice Location

Address
505 S BROADWAY
ZIP Code
37148-1438
Phone
(615) 323-1020

Authorized Official

Name
EMILY TIDWELL, NP
Title
MEMBER
Phone
(615) 323-1020

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Acute CareAcute Care

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