Individual
KATHRYN W TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
540 SAYBROOK RD STE 210, MIDDLETOWN, CT 06457-4759
(860) 358-6875
(860) 358-8693
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002731
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004227171
—
CT
Enumeration date
05/27/2005
Last updated
02/04/2026
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