Individual provider · Type 1 NPI
Alexa Tidwell, FNP-BC
Primary Care Nurse Practitioner · New York, NY
NPI number
1699545541
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
133 Sterling Pl Apt 1D
Brooklyn, NY 11217-3381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 353855 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1699545541
Alexa Tidwell, FNP-BC's National Provider Identifier is 1699545541, issued on Jan 2, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Mar 19, 2026.