person
Ms. Phyllis Kirby Tisdale, FNP
Family Nurse Practitioner in Los Angeles, California
NPI 1235695974

Phyllis Kirby Tisdale is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Phyllis Kirby Tisdale practices in Los Angeles, CA and has the professional credentials of FNP. The NPI Number for Phyllis Kirby Tisdale is 1235695974 and holds a License No. 95010999 (California).

The current practice location address for Phyllis Kirby Tisdale is 145 E 124Th Street, Los Angeles, CA and can be reached out via phone at 562-221-0555 and via fax at 562-595-7977.

Location: 145 E 124Th Street, Los Angeles, CA, 90061
person
Provider Profile Details
NPI Number
1235695974
Provider Name
Phyllis Kirby Tisdale
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
145 E 124Th Street, Los Angeles, CA, 90061
Phone Number
562-221-0555
Fax Number
562-595-7977
Provider Enumeration Date
02/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
145 E 124Th Street
City
State
Zip
90061
Phone Number
562-221-0555
Fax Number
562-595-7977
person
Provider Business Mailing Address Details
Address
145 E 124Th Street
City
State
Zip
90061
Phone Number
562-221-0555
Fax Number
562-595-7977
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95010999 (California)
Definition
Definition to come...
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