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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDY TIDWELL, APN

Active

RANDY TIDWELL, APN is a Family Nurse Practitioner healthcare provider located in PORTLAND, Tennessee. NPI 1164661674 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PORTLAND, TN

Registration Details

NPI Number
1164661674
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2009 (17.484677533464 yrs)
Last Updated
Aug 3, 2012
License
13982 (TN)

Practice Information

Address
421 N BROADWAY
PORTLAND, TN, 371481750
Browse TN providers · Browse ZIP 37148
Phone
6153231020
Fax
6153231021
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PORTLAND, TN

Name Credential NPI
MRS. KAREN DENISE CUMMINS-MARKS NNP-BC, FNP-BC 1962596809
BRITTANY WHITAKER 1932528361
MRS. AMANDA BUTTERWORTH MSN, APRN, FNP-C 1558767632
MRS. ASHLEY JONES FNP 1487021663
DR. SHELBY HARPEL DNP, APRN, FNP-BC 1073036786
SHERELEN HODGES NP 1467947267
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.