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Individual
MRS. TIERNEY KATHLEEN ELISON
Active
Individual
MRS. TIERNEY KATHLEEN ELISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM00183
RI
367A00000X
Advanced Practice Midwife
Primary
RN2318216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162456A
—
MA
Enumeration date
07/11/2019
Last updated
09/08/2025
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