Phyllis Kirby Tisdale
ActiveCalifornia license 95010999
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95010999
- Status
- Active (Current)
- First issued
- January 28, 2019
- Expires
- August 31, 2028
- License holder
- Phyllis Kirby Tisdale
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
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Contact
4411 Myrtle Ave
Long Beach, CA 90807-2439
Long Beach, CA 90807-2439
Los Angeles County