IndividualActive
Bill Tisue, CRNA
NPI 1972576734 · Certified Registered Nurse Anesthetist · Decorah, IA
Provider details
- NPI number
- 1972576734
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 047720 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
901 Montgomery St
Decorah, IA 52101-2325
Phone: (319) 382-2911
Approximate (ZIP-level) locationGet directions
Mailing address
400 E 10th St
Waconia, MN 55387-4552
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2008-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.