Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL TIIDEBERG
ActiveMICHAEL TIIDEBERG is a Family Nurse Practitioner healthcare provider located in CANYON LAKE, California. NPI 1538644521 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CANYON LAKE, CA
Registration Details
- NPI Number
- 1538644521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2018 (7.7014784338796 yrs)
- Last Updated
- Jul 25, 2022
- License
-
95009382 (CA)
Practice Information
- Address
-
31630 RAILROAD CANYON RD STE 4CANYON LAKE, CA, 925879478Browse CA providers · Browse ZIP 92587
- Phone
- 9518376980
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in CANYON LAKE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. VALERIE LYNN SPALDING | NP | 1407382757 |
| CYRIL MORGAN | — | 1770367658 |
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.