Individual provider · Type 1 NPI
Amy J. Tisdale, LPN
Licensed Practical Nurse · Waupun, WI
NPI number
1245463199
Active
Practice location
509 Maxon St
Waupun, WI 53963-1952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 33107031 (WI) |
Licensed Practical Nurse: 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.
Other licensed practical nurse providers in Waupun
About NPI 1245463199
Amy J. Tisdale, LPN's National Provider Identifier is 1245463199, issued on Aug 26, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waupun, WI. The record was last updated on Aug 26, 2009.