Julianne M Tidmore, CRNA
NPI #1750487575 in Pottsville, Pennsylvania
Provider Information
- NPI Number
- 1750487575
- Entity Type
- Individual
- Name
- Julianne M Tidmore, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Mar 13, 2015
Practice Location
- Address
- 420 S JACKSON ST
- City
- Pottsville
- State
- Pennsylvania
- ZIP Code
- 17901-3625
- Phone
- (570) 621-5171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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