Tidwell, Nedra G
Tidwell, Nedra G is an sole proprietor health care provider with primary practice located at 7525 Portwood Rd , Azle TX 76020-5835. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Tidwell, Nedra G can be contacted via phone (817) 444-5665.Contact Information
Primary practice address
7525 Portwood Rd
Azle TX 76020-5835
Phone: (817) 444-5665
Fax: (817) 444-9115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 28761 | Texas |
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | 28761 | Texas |
Profile Details
NPI number | 1790959252 |
---|---|
LBN Legal business name | Tidwell, Nedra G |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 16th, 2008 |
Last updated | Apr 16th, 2008 - about 16 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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