Individual provider · Type 1 NPI

Brandy Ann Tidwell, LPN

Licensed Practical Nurse · Prescott, AR

NPI number 1154672467 Active

Practice location

1658 US Highway 371
Prescott, AR 71857-7064

Fax (870) 887-3705

Mailing address

2904 Arkansas Blvd
Texarkana, AR 71854-2536

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL40788 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154672467

Brandy Ann Tidwell, LPN's National Provider Identifier is 1154672467, issued on Sep 26, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Prescott, AR. The record was last updated on Sep 26, 2012.