Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Tisdale, CNM

Individual provider Nurse Practitioner · NPI 1992034532

Mary Tisdale, CNM is a Nurse Practitioner in Peoria, Illinois. Licensed in Florida and Illinois. Registered with an NPI since 2009.

Licensed in
FL, IL
In the registry since
2009
Specialties on file
3
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Main St Ste 300
Peoria, IL 61606-2036
Phone: (309) 495-0200
Fax: (309) 676-6545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 209007925 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209008217 (IL)
Advanced Practice Midwife Taxonomy 367A00000X · Licence APRN11000699 (FL)

Record details

NPI number1992034532
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedDecember 10, 2009
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

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