Individual provider · Type 1 NPI

Kayla Kizziah Tidwell, CRNP

Family Nurse Practitioner · Alexander City, AL

NPI number 1174020929 Active

Practice location

3316 Highway 280
Alexander City, AL 35010-3369

Mailing address

1034 S Tallassee St
Dadeville, AL 36853-1844

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-145314 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1174020929

Kayla Kizziah Tidwell, CRNP's National Provider Identifier is 1174020929, issued on Apr 9, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Alexander City, AL. The record was last updated on Dec 26, 2020.