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TONYA TIDWELL
Family Nurse Practitioner
NPI: 1356850739IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
041316348(IL)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
209016801(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 4282 E ROCKTON RD
ROSCOE, IL 61073 - Phone
- (779) 696-9000
Quick Facts
- NPI
- 1356850739
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 9
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