Individual
MRS. KENDIE SUE TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1800 E WILCOX DR, SIERRA VISTA, AZ 85635-2756
(520) 459-3116
Mailing address
1800 E WILCOX DR, SIERRA VISTA, AZ 85635-2756
(520) 459-3116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN205235
AZ
363LF0000X
Family Nurse Practitioner
Primary
303358
AZ
Other
Enumeration date
09/15/2023
Last updated
02/05/2024
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