Tidwell, Kristin

Tidwell, Kristin is an sole proprietor health care provider with primary practice located at 1008 W Taft Ave , Sapulpa OK 74066-8720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tidwell, Kristin can be contacted via phone (918) 347-8090.

Contact Information

Primary practice address
1008 W Taft Ave Sapulpa OK 74066-8720
Phone: (918) 347-8090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0111034 Oklahoma

Profile Details

NPI number 1396418679
LBN Legal business name Tidwell, Kristin
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2021
Last updated Jul 31st, 2021 - about 3 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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