National Provider Identifier Database

ELIZABETH TISDALE, RN – NPI #1871809731
Case Management


Contact Information

ELIZABETH TISDALE, RN
1061 HARMON AVE
STE 1D03
FORT STEWART, GA31314-5641
Phone: 912-435-6933
Fax:
Website:
Specialty Taxonomy Code
* Case Management 163WC0400X

* Indicates primary specialty

NPI Profile & details for ELIZABETH TISDALE

NPI Number 1871809731
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/29/2010
Last updated 08/29/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: RN174473
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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