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Mary Tisdale, CNM
Advanced Practice Midwife in Peoria, Illinois
NPI 1992034532

Mary Tisdale is an Advanced Practice Midwife based in Springfield, IL. Mary Tisdale practices in Peoria, IL and has the professional credentials of CNM. The NPI Number for Mary Tisdale is 1992034532 and holds a License No. 209008217 (Illinois).

The current practice location address for Mary Tisdale is 1001 Main St Ste 300, Peoria, IL and can be reached out via phone at 309-495-0200 and via fax at 309-676-6545. You can also correspond with Mary Tisdale through the mailing address at 1025 S 6TH ST, SPRINGFIELD, IL - 62703-2403 (mailing address contact number: 217-528-7541).

Location: 1001 Main St Ste 300, Peoria, IL, 62703-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992034532
Provider Name
Mary Tisdale
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
1001 Main St Ste 300, Peoria, IL, 62703-2403
Phone Number
309-495-0200
Fax Number
309-676-6545
Provider Enumeration Date
12/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9337001 05 IL
institution
Provider Business Practice Location Address Details
Address
1001 Main St Ste 300
City
Peoria
State
Illinois
Zip
61606-2036
Phone Number
309-495-0200
Fax Number
309-676-6545
person
Provider Business Mailing Address Details
Address
1025 S 6Th St
City
Springfield
State
Illinois
Zip
62703-2403
Phone Number
217-528-7541
Fax Number
772-879-0436
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN11000699 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Advanced Practice Midwife
Speciality
-
Taxonomy
367A00000X
License No.
209008217 (Illinois)
Definition
Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
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