Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY PATRICIA TIERNEY, NURSE PRACTITIONER
ActiveMRS. MARY PATRICIA TIERNEY, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in WILDWOOD, Missouri. NPI 1457307324 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WILDWOOD, MO
Registration Details
- NPI Number
- 1457307324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2006 (20.237183359913 yrs)
- Last Updated
- Jul 21, 2015
- License
-
066801 (MO)
Practice Information
- Address
-
16555 MANCHESTER RDSUITE 110WILDWOOD, MO, 630401220Browse MO providers · Browse ZIP 63040
- Phone
- 6364053155
- Fax
- 6364053162
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.