Individual
ARIEL TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 N SPRUCE ST, GUNNISON, CO 81230-3029
(970) 641-3244
Mailing address
220 N SPRUCE ST, GUNNISON, CO 81230-3029
(970) 641-3244
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0186973
CO
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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