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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIN TISDALE, PA-C

Active Sole Proprietor

ERIN TISDALE, PA-C is a Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1114391000 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PHOENIX, AZ

Registration Details

NPI Number
1114391000
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2015 (10.742224699397 yrs)
Last Updated
May 15, 2019
Licenses
6982 (AZ)
PA10269
Sole Proprietor
Yes

Practice Information

Address
2525 E ROOSEVELT ST
PHOENIX, AZ, 850084948
Browse AZ providers · Browse ZIP 85008
Phone
6023441015
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PHOENIX, AZ

Name Credential NPI
JEANNETTE VAUGHN-DOTTERER DMSC, PA-C 1407859416
MICHAEL D RICHARDS PA 1306840707
LINDSEY A STEBER PA-C 1568468114
DEBORAH JOYCE LADER P.A.-C. 1720086994
DONDII DELGADO PA-C 1033119532
DEANNA SINGER P.A.-C 1467452508
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.