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Ms. Amy J. Tisdale, LPN
Licensed Practical Nurse in Waupun, Wisconsin
NPI 1245463199

Amy J. Tisdale is a Licensed Practical Nurse based in Waupun, WI. Amy J. Tisdale practices in Waupun, WI and has the professional credentials of LPN. The NPI Number for Amy J. Tisdale is 1245463199 and holds a License No. 33107031 (Wisconsin).

The current practice location address for Amy J. Tisdale is 509 Maxon St, Waupun, WI and can be reached out via phone at 920-324-3467.

Location: 509 Maxon St, Waupun, WI, 53963-1952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245463199
Provider Name
Amy J. Tisdale
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
509 Maxon St, Waupun, WI, 53963-1952
Phone Number
920-324-3467
Fax Number
Provider Enumeration Date
08/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
509 Maxon St
City
Waupun
State
Wisconsin
Zip
53963-1952
Phone Number
920-324-3467
Fax Number
person
Provider Business Mailing Address Details
Address
509 Maxon St
City
Waupun
State
Wisconsin
Zip
53963-1952
Phone Number
920-324-3467
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
33107031 (Wisconsin)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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