Mary Tisdale, CNM
NPI #1992034532 in Peoria, Illinois
Provider Information
- NPI Number
- 1992034532
- Entity Type
- Individual
- Name
- Mary Tisdale, CNM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CNM
- Enumeration Date
- Dec 10, 2009
- Last Updated
- Apr 5, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Advanced Practice Midwife |
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