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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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.

Request for update

Popular Providers