RYAN SCOTT TIDWELL APRN NPI 1336712033

NPI Information

NPI: 1336712033
Provider Name: RYAN SCOTT TIDWELL, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FLORIDA HOSPITAL MEDICAL GROUP INC

PECOS Registration: Yes

Address:
661 E ALTAMONTE DR STE 115
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 831-4040
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Ryan Scott Tidwell, APRN is a family nurse practitioner in Altamonte Springs, FL with 3 years of experience. Ryan Scott Tidwell, APRN NPI is 1336712033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

661 E ALTAMONTE DR STE 115
ALTAMONTE SPRINGS, FL
ZIP 32701-102
Phone: (407) 831-4040
Fax: (407) 260-0281

The NPI 1336712033 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 7/20/2021 and was last updated on 1/24/2022.

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	363LF0000X	Nurse Practitioner	Family	11014417	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11014417	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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