Individual
CAROLINE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11915 GEORGIA AVE, WHEATON, MD 20902
(301) 942-4505
Mailing address
3125 DISTRICT AVE, APT 305, CHARLOTTESVILLE, VA 22901
(516) 698-7746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172771
VA
363LF0000X
Family Nurse Practitioner
Primary
AC001571
MD
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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