Individual
HELEN RHAWN TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 COLLEGE BLVD W, NICEVILLE, FL 32578-1099
(850) 678-6735
(850) 678-8078
Mailing address
2337 CANAL DR, NICEVILLE, FL 32578-2911
(850) 305-3436
(850) 678-8078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 950252
FL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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