Individual
MS. ANDREA MARIE TIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
NBHC PORTSMOUTH, 402 GOODRICH AVE, KITTERY, ME 03904
(603) 430-2430
Mailing address
PSC 80 BOX 13414, APO, AP 96367-0037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NPI1073873048
—
Other
Enumeration date
05/23/2012
Last updated
01/06/2025
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