IndividualActive
Brook Tiddens, CNM
NPI 1700147204 · Advanced Practice Midwife · Boise, ID
Provider details
- NPI number
- 1700147204
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6140 W Curtisian Ave
Suite 100
Boise, ID 83704-8880
Phone: (208) 367-4224
Approximate (ZIP-level) locationGet directions
Mailing address
11967 Bonnie Ln
Nampa, ID 83651-8056
Registry dates
- Enumerated
- 2012-05-31
- Last updated
- 2012-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.