| Ms Amy J Tisdale, LPN | |
|
509 Maxon St, Waupun, WI 53963-1952 | |
| (920) 324-3467 | |
| Not Available |
| Full Name | Ms Amy J Tisdale |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 509 Maxon St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245463199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 33107031 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy J Tisdale, LPN 509 Maxon St, Waupun, WI 53963-1952 Ph: (920) 324-3467 | Ms Amy J Tisdale, LPN 509 Maxon St, Waupun, WI 53963-1952 Ph: (920) 324-3467 |
Mrs. Kathleen Mae Buwalda, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: W13546 Marshview Rd, Waupun, WI 53963 Phone: 920-324-9948 | |
Brenda Lee Marquard, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 809 Seymour St, Waupun, WI 53963 Phone: 920-960-0381 | |
Tiffany Hidde, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 989 W Main St, Waupun, WI 53963 Phone: 920-296-2222 |