Tisdale, Amy J.

Tisdale, Amy J. is an individual health care provider with primary practice located at 509 Maxon St , Waupun WI 53963-1952. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tisdale, Amy J. can be contacted via phone (920) 324-3467.

Contact Information

Primary practice address
509 Maxon St Waupun WI 53963-1952
Phone: (920) 324-3467
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 33107031 Wisconsin

Profile Details

NPI number 1245463199
LBN Legal business name Tisdale, Amy J.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2009
Last updated Aug 26th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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