IndividualActive
Alexa Tidwell, FNP-BC
NPI 1699545541 · Primary Care Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1699545541
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 353855 (NY)
Mailing address
133 Sterling Pl Apt 1d
Brooklyn, NY 11217-3381
Registry dates
- Enumerated
- 2024-01-02
- Last updated
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.