Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDWELL FAMILY VENTURES LLC
Active OrganizationTIDWELL FAMILY VENTURES LLC is a Acute Care Nurse Practitioner organization located in PORTLAND, Tennessee. NPI 1518106020 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · PORTLAND, TN
Registration Details
- NPI Number
- 1518106020
- Provider Type
- Organization
- NPI Issued
- Feb 8, 2009 (17.495185267734 yrs)
- Last Updated
- Aug 5, 2009
- Licenses
-
1755 (TN)13982 (TN)10971 (TN)
Practice Information
- Address
-
505 S BROADWAYPORTLAND, TN, 371481438Browse TN providers · Browse ZIP 37148
- Phone
- 6153231020
- Fax
- 6153231021
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Acute Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.