Individual provider · Type 1 NPI
Angela Tisdale
Psychiatric/Mental Health Registered Nurse · Albuquerque, NM
NPI number
1326420308
Active
Practice location
2600 Marble Ave NE
Albuquerque, NM 87106-2058
Mailing address
3406 Oldenburg Ct NE
Rio Rancho, NM 87144-6515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 69797 (NM) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1326420308
Angela Tisdale's National Provider Identifier is 1326420308, issued on Jun 25, 2015. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 25, 2015.