Individual
ALICIA BETH KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
203 W PATISON ST STE B, PORT HADLOCK, WA 98339-8701
(360) 251-0898
(360) 251-0863
Mailing address
6780 HORIZON RD STE 102, HEATH, TX 75032-2104
(888) 877-6395
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61190565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
08/14/2018
Last updated
01/13/2025
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