Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Rose Tidoe, APRN

Individual provider Family Nurse Practitioner · NPI 1073142881

Mary Rose Tidoe, APRN is a Nurse Practitioner in Danville, Virginia. Qualified in 2018, 8 years ago. Practices with Brightview LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

480 Mount Cross Rd
Danville, VA 24540-4000
Phone: (833) 510-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024182807 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0002134328 (VA)

Record details

NPI number1073142881
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Brightview Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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