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Individual
MR. MATTHEW JOSEPH TIERNEY
Active
Individual
MR. MATTHEW JOSEPH TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P., M.S.N., R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN546728
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NPF11973
CA
Other
Enumeration date
06/28/2006
Last updated
09/11/2025
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