Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY TISDALE, CNM
ActiveMARY TISDALE, CNM is a Advanced Practice Midwife healthcare provider located in PEORIA, Illinois. NPI 1992034532 is currently active in the NPPES registry. Verify at CMS.
Advanced Practice Midwife · PEORIA, IL
Registration Details
- NPI Number
- 1992034532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2009 (16.492541328932 yrs)
- Last Updated
- Apr 5, 2021
- Licenses
-
209008217 (IL)APRN11000699 (FL)209007925 (IL)
Practice Information
- Address
-
1001 MAIN ST STE 300PEORIA, IL, 616062036Browse IL providers · Browse ZIP 61606
- Phone
- 3094950200
- Fax
- 3096766545
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
- Additional Specialty
- Advanced Practice Midwife
- Additional Specialty
- Advanced Practice Midwife
Other Advanced Practice Midwife Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DANA HUMES GOFF | A.P.N., C.N.M. | 1043205644 |
| LYNNETTE A DAVIS | APN | 1225260920 |
| MS. CAROLYN ANN CALHOUN | APN, CNM | 1811326317 |
| ASHLEY FRERICHS | — | 1982024394 |
| KRISTIN M KING | CNM | 1538537444 |
| JODI E MORSE | CNM | 1477047272 |
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.