Douglas Tidwell MSN, ARNP, FNP-C
Family Nurse Practitioner in Sarasota, FL(View on Map)
Full Name
Douglas Tidwell MSN, ARNP, FNP-C
NPI Number
1689079337
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/23/2014
Specialties
(Taxonomies)Licenses
State
Florida
Florida
License Number
9326689
APRN9326689
Contact
Information
Purpose
Mailing
Location
Address
4435 SPAHN ST
5955 RAND BLVD
City
Sarasota
Sarasota
State
FL
FL
Postal Code
34232-5135
34238-5160
Country
US
US
Telephone Number
(941) 726-2082
(941) 552-7508
Identifiers
Identifier
IB924Z
Identifier State
FL
Identifier Issuer
MEDICARE
Health Information Exchange
Endpoint Type
CONNECT
Endpoint
Email
Endpoint Description
Unknown
Use
Direct
Content Type
CSV
Affiliation
N
Endpoint Location
5955 Rand BlvdSarasota, FL342385160US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/20/2019