Individual
TATIANA GLOVER KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 ALBANY ST, SHAPIRO 8, BOSTON, MA 02118-2526
(617) 414-4841
(617) 414-5741
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
255953
MA
Other
Enumeration date
07/10/2006
Last updated
07/03/2014
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