Individual provider · Type 1 NPI

Debra Kay Tidmore

Licensed Vocational Nurse · Haltom City, TX

NPI number 1720624018 Active

Practice location

3529 Denton Hwy Ste D
Haltom City, TX 76117-3293

Fax (817) 759-0828

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X171276 (TX)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1720624018

Debra Kay Tidmore's National Provider Identifier is 1720624018, issued on Nov 21, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Haltom City, TX. The record was last updated on Nov 21, 2019.