National Provider Identifier
Mary E Tisdale, LPN
Mary E Tisdale, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Chili, NY and a listed phone number of (585) 694-3472.
Profile Overview
- NPI
- 1639570898
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 08, 2014
- Last Updated
- September 08, 2014
Practice Location
- 215 Meadow Farm S
- North Chili, NY 14514-1311
Phone: (585) 694-3472
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1639570898
- Entity Type
- Individual
- Last Name
- Tisdale
- First Name
- Mary
- Middle Name
- E
- Credential
- LPN
- Mailing Street Address
- 215 Meadow Farm S
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514-1311
- Mailing Country
- US
- Mailing Phone
- (585) 694-3472
- Practice Street Address
- 215 Meadow Farm S
- Practice City
- North Chili
- Practice State
- NY
- Practice ZIP Code
- 14514-1311
- Practice Country
- US
- Practice Phone
- (585) 694-3472
- Enumeration Date
- September 08, 2014
- Last Updated
- September 08, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)