Individual provider · Type 1 NPI

Rebekah June Tisdale, FNP-BC

Family Nurse Practitioner · Waddington, NY

NPI number 1295566388 Active

Practice location

4 Montgomery Heights
Waddington, NY 13694

Fax (315) 388-4311

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X354223 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1295566388

Rebekah June Tisdale, FNP-BC's National Provider Identifier is 1295566388, issued on Aug 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waddington, NY. The record was last updated on Nov 27, 2024.