MS. Amy J. Tisdale, LPN

NPI #1245463199 in Waupun, Wisconsin

Provider Information

NPI Number
1245463199
Entity Type
Individual
Name
MS. Amy J. Tisdale, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 26, 2009
Last Updated
Aug 26, 2009

Practice Location

Address
509 MAXON ST
City
Waupun
ZIP Code
53963-1952
Phone
(920) 324-3467

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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