Individual provider · Type 1 NPI
Tosha Renee Tidwell, DNP
Family Nurse Practitioner · Rochester, NY
NPI number
1891355442
Active
Practice location
777 Clinton Ave S
Rochester, NY 14620-1448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 765923 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 344928 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891355442
Tosha Renee Tidwell, DNP's National Provider Identifier is 1891355442, issued on Jun 17, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Aug 22, 2019.