Erin Tisdale, PA-C Valid NPI

Individual provider · Physician Assistant · Phoenix, AZ

NPI

1114391000

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

6982 (AZ)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-11-16

Last updated

2019-05-15