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

Mrs. Nedra G Tidwell

Individual provider Licensed Vocational Nurse · NPI 1790959252

Mrs. Nedra G Tidwell is a Licensed Vocational Nurse in Azle, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
Specialties on file
2

Practice location Address checks out

7525 Portwood Rd
Azle, TX 76020-5835
Phone: (817) 444-5665
Fax: (817) 444-9115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Intellectual and/or Developmental Disabilities Respite Care (primary) Taxonomy 385HR2060X · Licence 28761 (TX)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 28761 (TX)

Record details

NPI number1790959252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008

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