Individual provider · Type 1 NPI

Elizabeth Tisdale, RN

Case Management Registered Nurse · Fort Stewart, GA

NPI number 1871809731 Active

Practice location

1061 Harmon Ave, Ste 1D03
Fort Stewart, GA 31314-5641

Mailing address

118 Mill Creek Dr
Rincon, GA 31326-5547

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN174473 (GA)

Case Management Registered Nurse: Definition to come...

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About NPI 1871809731

Elizabeth Tisdale, RN's National Provider Identifier is 1871809731, issued on Aug 29, 2010. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Stewart, GA. The record was last updated on Aug 29, 2010.