LAURA MARIE TIDWELL APNP NPI 1669757258

NPI Information

NPI: 1669757258
Provider Name: LAURA MARIE TIDWELL, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
342 N WATER ST STE 600
MILWAUKEE, WI
ZIP 53202
Phone: (651) 342-1039
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Laura Marie Tidwell, APNP is a family nurse practitioner in Milwaukee, WI with 11 years of experience. Laura Marie Tidwell, APNP NPI is 1669757258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

342 N WATER ST STE 600
MILWAUKEE, WI
ZIP 53202-715
Phone: (651) 342-1039
Fax: (651) 342-1428

The NPI 1669757258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2011 and was last updated on 3/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		141543-30	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	5705-33	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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