Tiddens, Brook Rose

Tiddens, Brook Rose is an individual health care provider with primary practice located at 6140 W Curtisian Ave Suite 100, Boise ID 83704-8880. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tiddens, Brook Rose can be contacted via phone (208) 367-4224.

Contact Information

Primary practice address
6140 W Curtisian Ave Suite 100 Boise ID 83704-8880
Phone: (208) 367-4224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1700147204
LBN Legal business name Tiddens, Brook Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated May 31st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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