Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NEDRA G TIDWELL
Active Sole ProprietorMRS. NEDRA G TIDWELL is a Respite Care (Camp) healthcare provider located in AZLE, Texas. NPI 1790959252 is currently active in the NPPES registry. Verify at CMS.
Respite Care (Camp) · AZLE, TX
Registration Details
- NPI Number
- 1790959252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2008 (18.348674099181 yrs)
- Last Updated
- Apr 16, 2008
- Licenses
-
28761 (TX)28761 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7525 PORTWOOD RDAZLE, TX, 760205835Browse TX providers · Browse ZIP 76020
- Phone
- 8174445665
- Fax
- 8174449115
- Primary Specialty
-
Respite Care (Camp)
385HR2060X
- Additional Specialty
- Respite Care (Camp)
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.