Tidwell -Shoemaker, Marilyn Loretta
Tidwell -Shoemaker, Marilyn Loretta is an individual health care provider with primary practice located at 233 Winton Blount Loop , Montgomery AL 36117-3507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tidwell -Shoemaker, Marilyn Loretta can be contacted via phone (334) 350-5648.Contact Information
Primary practice address
233 Winton Blount Loop
Montgomery AL 36117-3507
Phone: (334) 350-5648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95013184 | California |
Profile Details
| NPI number | 1144867409 |
|---|---|
| LBN Legal business name | Tidwell -Shoemaker, Marilyn Loretta |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2019 |
| Last updated | Jan 16th, 2024 - about 2 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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