National Provider Identifier
Tosha Renee Tidwell, DNP
Tosha Renee Tidwell, DNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 279-4800.
Profile Overview
- NPI
- 1891355442
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 17, 2019
- Last Updated
- August 22, 2019
Practice Location
- 777 Clinton Ave S
- Rochester, NY 14620-1448
Phone: (585) 279-4800
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1891355442
- Entity Type
- Individual
- Last Name
- Tidwell
- First Name
- Tosha
- Middle Name
- Renee
- Credential
- DNP
- Mailing Street Address
- 777 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1448
- Mailing Country
- US
- Mailing Phone
- (585) 279-4800
- Practice Street Address
- 777 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1448
- Practice Country
- US
- Practice Phone
- (585) 279-4800
- Enumeration Date
- June 17, 2019
- Last Updated
- August 22, 2019
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)