Mary Tisdale CNM

  • NPI 1992034532
According to our database, the NPI number for Mary Tisdale CNM is 1992034532 and activated since 14 years ago. Mary Tisdale CNM is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 1001 Main St Ste 300, Peoria, IL 61606. You can also contact Mary Tisdale CNM via telephone number is (309) 495-0200. Provider NPI information was last updated on 04/05/2021.

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Overview of Mary Tisdale CNM

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/10/2009
  • Last updated: 04/05/2021

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 209008217
  • License State: IL

Provider Mailing Address

  • Address: 1025 S 6th St
    Springfield, IL 62703
  • Phone: 217-528-7541
  • Fax: 772-879-0436

Provider Practice Location

  • Address: 1001 Main St Ste 300
    Peoria, IL 61606
  • Phone: 309-495-0200
  • Fax: 309-676-6545

Scope of Practice

  • Taxonomy Code: 367A00000X
  • Specialty: Advanced Practice Midwife
  • License Number: 209007925
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 9337001
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mary Tisdale CNM?
  • A: The npi number for Mary Tisdale CNM is 1992034532.
  • Q: What are Mary Tisdale CNM's specialties?
  • A: Mary Tisdale CNM's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Mary Tisdale CNM?
  • A: The medical license number for Mary Tisdale CNM is 209008217 and issued in IL in USA.
  • Q: Where is Mary Tisdale CNM practice location?
  • A: Mary Tisdale CNM is practicing at 1001 Main St Ste 300, Peoria, IL 61606.
  • Q: How to contact Mary Tisdale CNM?
  • A: You can contact Mary Tisdale CNM via 309-495-0200.
Medicare Specialty
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Sports Medicine
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