Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANICE R TIDWELL
Active Sole ProprietorSHANICE R TIDWELL is a Bus healthcare provider located in GRANADA HILLS, California. NPI 1235995952 is currently active in the NPPES registry. Verify at CMS.
Bus · GRANADA HILLS, CA
Registration Details
- NPI Number
- 1235995952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2024 (2.4655531745667 yrs)
- Last Updated
- Feb 21, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
16867 KINGSBURY ST APT 126GRANADA HILLS, CA, 913446444Browse CA providers · Browse ZIP 91344
- Phone
- 5138093962
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in GRANADA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| YURIY ANDREASOVICH ADAMYAN | — | 1912716663 |
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.