Individual provider · Type 1 NPI
Nicole Lynn Tidd
Adult Health Nurse Practitioner · Orangeburg, SC
NPI number
1700295284
Active
Practice location
1137 Cook Rd
Orangeburg, SC 29118-8204
Fax (803) 395-2237
Mailing address
PO Box 1245
Orangeburg, SC 29116-1245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 18998 (SC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 18998 (SC) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other adult health nurse practitioner providers in Orangeburg
About NPI 1700295284
Nicole Lynn Tidd's National Provider Identifier is 1700295284, issued on Aug 8, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orangeburg, SC. The record was last updated on Nov 22, 2017.