# KATHY ROSSER TIERNEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780787895
- **Gender:** F
- **Credential:** LNP,CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | B091304106 | VA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 0001078773 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024165434 | VA | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 0015000150 | VA | — |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010347432 | — | VA |