National Provider Identifier
Brooklynn T Tisdale, LPN
Brooklynn T Tisdale, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 362-2046.
Profile Overview
- NPI
- 1992553101
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 11, 2024
- Last Updated
- May 11, 2024
Practice Location
- 60 Dodge St Apt D
- Rochester, NY 14606-1524
Phone: (585) 362-2046
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1992553101
- Entity Type
- Individual
- Last Name
- Tisdale
- First Name
- Brooklynn
- Middle Name
- T
- Name Prefix
- Miss
- Credential
- LPN
- Mailing Street Address
- 60 Dodge St Apt D
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-1524
- Mailing Country
- US
- Mailing Phone
- (585) 362-2046
- Practice Street Address
- 60 Dodge St Apt D
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1524
- Practice Country
- US
- Practice Phone
- (585) 362-2046
- Enumeration Date
- May 11, 2024
- Last Updated
- May 11, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)