Individual
MRS. AMY TIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NP-C, PMHNP-BC
Contact information
Practice address
1103 CLEVELAND AVE, MOUNT VERNON, WA 98273-4215
(260) 336-6868
(360) 336-6866
Mailing address
1103 CLEVELAND AVE, MOUNT VERNON, WA 98273-4215
(360) 336-6868
(360) 338-6866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP 60331561
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60331561
WA
Other
Enumeration date
01/14/2013
Last updated
05/26/2023
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