Individual
DR. ALICE SUSAN BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000280
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
0015000280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239232
ANTHEM BLUE CROSS
VA
05
—
5510241
—
VA
Enumeration date
11/04/2006
Last updated
09/11/2025
Update your record
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