Individual provider · Type 1 NPI
Kristin Tidwell, APRN, FNP-C
Family Nurse Practitioner · Sapulpa, OK
NPI number
1396418679
Active
Practice location
1008 W Taft Ave
Sapulpa, OK 74066-8720
Mailing address
10488 S 86th East Ave
Tulsa, OK 74133-7084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R0111034 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396418679
Kristin Tidwell, APRN, FNP-C's National Provider Identifier is 1396418679, issued on Jul 31, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sapulpa, OK. The record was last updated on Jul 31, 2021.