IndividualActive
Andrea Tidd, PA-C
NPI 1073873048 · Physician Assistant · Kittery, ME
Provider details
- NPI number
- 1073873048
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- NPI1073873048
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Nbhc Portsmouth
402 Goodrich Ave
Kittery, ME 03904
Phone: (603) 430-2430
Approximate (ZIP-level) locationGet directions
Mailing address
Psc 80 Box 13414
Apo, AP 96367-0037
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2025-01-06
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.