Individual provider · Type 1 NPI

Justin Tyler Tidwell, DNP, NP

Nurse Practitioner · Stanford, CA

NPI number 1245648922 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Call (650) 723-4000 Map

Other practice locations

  • 2333 Buchanan St, San Francisco, CA 94115-1925 · (415) 600-6000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X95000691 (CA)
Nurse Practitioner Primary 363L00000X95000691 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245648922

Justin Tyler Tidwell, DNP, NP's National Provider Identifier is 1245648922, issued on Jul 26, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Nov 6, 2024.