Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LYNN TIDD
Active Sole ProprietorNICOLE LYNN TIDD is a Adult Health Nurse Practitioner healthcare provider located in ORANGEBURG, South Carolina. NPI 1700295284 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · ORANGEBURG, SC
Registration Details
- NPI Number
- 1700295284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2014 (11.871690388592 yrs)
- Last Updated
- Nov 22, 2017
- Licenses
-
18998 (SC)18998 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1137 COOK RDORANGEBURG, SC, 291188204Browse SC providers · Browse ZIP 29118
- Phone
- 8035310970
- Fax
- 8033952237
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in ORANGEBURG, SC
| Name | Credential | NPI |
|---|---|---|
| ERIN SUZANNE CASTELLANO | A.P.R.N | 1407045404 |
| MARSHA S WASHINGTON | AGNP-C | 1700674033 |
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.