Individual provider · Type 1 NPI

Mary Tisdale, CNM

Advanced Practice Midwife · Peoria, IL

NPI number 1992034532 Active

Practice location

1001 Main St Ste 300
Peoria, IL 61606-2036

Call (309) 495-0200 Map

Fax (309) 676-6545

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209008217 (IL)
Advanced Practice Midwife 367A00000XAPRN11000699 (FL)
Advanced Practice Midwife Primary 367A00000X209007925 (IL)

Advanced Practice Midwife: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives p…

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About NPI 1992034532

Mary Tisdale, CNM's National Provider Identifier is 1992034532, issued on Dec 10, 2009. The primary taxonomy on file is Advanced Practice Midwife (367A00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 5, 2021.