Individual
BRANDI MARIE TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
105 WEIDMANSVILLE RD, EPHRATA, PA 17522-9754
(717) 738-0660
Mailing address
1030 BIRDELL RD, HONEY BROOK, PA 19344-1288
(717) 856-1067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028823
PA
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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