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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY D TIDWELL, REGISTERED NURSE

Active Sole Proprietor

SHELLY D TIDWELL, REGISTERED NURSE is a Rehabilitation Nurse healthcare provider located in MUSKOGEE, Oklahoma. NPI 1942193677 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Nurse · MUSKOGEE, OK

Registration Details

NPI Number
1942193677
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2025 (1.16931920296 yrs)
Last Updated
Jun 2, 2025
License
R0107941 (OK)
Sole Proprietor
Yes

Practice Information

Address
1011 HONOR HEIGHTS DR
MUSKOGEE, OK, 744011318
Browse OK providers · Browse ZIP 74401
Phone
9185774015
Primary Specialty
Rehabilitation Nurse
163WR0400X

Other Rehabilitation Nurse Providers in MUSKOGEE, OK

Name Credential NPI
LAUREN SAWYER RN 1497547319
ADAM HUNTER HINE RN 1235921164
JOSHUA DON CLOUD RN 1891680120
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.