Individual provider · Type 1 NPI
Angela Sims Tisdale, ARNP
Adult Health Nurse Practitioner · New Port Richey, FL
NPI number
1508371014
Active
Practice location
6804 Cecelia Dr
New Port Richey, FL 34653-4935
Fax (888) 546-0488
Other practice locations
- 10203 Majestic Palm Cir Apt 102, Riverview, FL 33578-9440 · (251) 455-4464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 9464937 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9464937 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508371014
Angela Sims Tisdale, ARNP's National Provider Identifier is 1508371014, issued on Dec 6, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Port Richey, FL. The record was last updated on Mar 4, 2022.