Individual
ERICA CHRISTINE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
508 N 2ND ST, NASHVILLE, AR 71852-3925
(870) 455-0134
(870) 277-2230
Mailing address
118 SPEEDY LN, DELIGHT, AR 71940-8334
(870) 230-2335
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R100057
AR
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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