Tisdale, Angela Sims
Tisdale, Angela Sims is an individual health care provider with primary practice located at 6804 Cecelia Dr , New Port Richey FL 34653-4935. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Tisdale, Angela Sims can be contacted via phone (855) 232-0644.Contact Information
Primary practice address
6804 Cecelia Dr
New Port Richey FL 34653-4935
Phone: (855) 232-0644
Fax: (888) 546-0488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 9464937 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 9464937 | Florida |
Profile Details
NPI number | 1508371014 |
---|---|
LBN Legal business name | Tisdale, Angela Sims |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2017 |
Last updated | Mar 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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