IndividualActive
Amanda Tullidge, AGACNP
NPI 1609595842 · Nurse Practitioner · North Chesterfield, VA
Provider details
- NPI number
- 1609595842
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024184922 (VA)
Practice location
223 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone: (804) 330-4021
Mailing address
165 Wadsworth Dr
North Chesterfield, VA 23236-4500
Registry dates
- Enumerated
- 2022-08-23
- Last updated
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.