Ivy Tidwell Prothro, FNP-BC is a family nurse practitioner in Bethesda, MD with 5 years of experience. Ivy Tidwell Prothro, FNP-BC NPI is 1811529381. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019
The provider's business location address is:
4701 SANGAMORE RD STE S207
BETHESDA, MD
ZIP 20816-529
Phone: (202) 684-7176
The NPI 1811529381 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 2/12/2020 and was last updated on 2/12/2020.