TOSHA RENEE TIDWELL DNP - NPI 1891355442 - Nurse Practitioner in Rochester, NY

Q: What is Tosha Tidwell's NPI number?

The NPI number for Tosha Tidwell is 1891355442. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Tosha Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tosha Tidwell was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tosha Renee Tidwell Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOSHA RENEE TIDWELL DNP (NPI 1891355442) is an individual family provider in Rochester, New York, licensed in New York (344928) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1891355442

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTOSHA RENEE TIDWELLCredential: DNP

Location Address777 CLINTON AVE SRochester, NY 14620-1448

Mailing Address777 Clinton Ave SRochester, NY 14620-1448 · (585) 279-4800

Phone(585) 279-4800

Sole ProprietorNo

Enumeration DateJune 17, 2019

Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration

✔ NPI 1891355442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 344928

Also ListedRegistered NurseTaxonomy 163W00000X · License 765923 (NY)

777 CLINTON AVE S, Rochester, NY 14620

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIA EMMANUELLE HANNA DO

Student in an Organized Health Care Education/Training Program