NPI 1033486147
Melanie Rose Tidwell
Practice location
- Address
- 6000 Kanakanak Rd, Dillingham, AK 99576-0130
- Phone
- (907) 842-5201
- Fax
- (907) 842-9250
- Mailing address
- P.O. Box 130, Dillingham, AK 99576-0130
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1033486147
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Nov 2011
- Record last updated
- 18 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.