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Elizabeth Tisdale, CPM, LM

Midwife in Bastrop, TX. Individual provider (NPI-1).

NPI number1861982928
StatusActive
Last updated in NPPESJan 26, 2026

Details

NPI
1861982928
Entity type
Individual (NPI-1)
Name
Elizabeth Tisdale
Credential
CPM, LM
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2018
Certification date
Jan 26, 2026
Last updated
Jan 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X Midwife99330TXYes
374J00000X Doula––

Practice location

1009 Chestnut St
Bastrop, TX 78602-3303

Phone 512-710-9662 · Fax 915-232-9611

Mailing address

1009 Chestnut St
Bastrop, TX 78602-3303

Phone 512-710-9662 · Fax 915-232-9611

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