Individual
RACHEL MAY TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 745-7325
Mailing address
9509 STARLITE DR, RIVERVIEW, FL 33578-3845
(813) 760-4354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9478267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/29/2020
Last updated
03/29/2020
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