Individual
DARLENE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003443
KY
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027524
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062228
—
OH
05
—
201069770
—
IN
01
—
500016674
PALMETTO GBA-RAILROAD MEDICARE
—
05
—
78004918
—
KY
Enumeration date
05/24/2005
Last updated
12/28/2020
Update your record
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