Individual
JUDITH YEAGER TIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE., NW, WASHINGTON, DC 20307-0001
(202) 782-7341
Mailing address
900 RAMSEY ST, ALEXANDRIA, VA 22301-2130
(202) 782-9325
(202) 782-4313
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN966388
DC
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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