Individual
TERRI-ELLEN J KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8155 PINEY RIVER AVE STE 100, LITTLETON, CO 80125-8729
(303) 265-3390
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP2846
AZ
363L00000X
Nurse Practitioner
RN095827
AZ
363LF0000X
Family Nurse Practitioner
Primary
APN.0991323-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255147
—
AZ
01
—
P00625104
RAILROAD MEDICARE
AZ
Enumeration date
08/13/2007
Last updated
07/15/2021
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