Individual
MRS. LAUREN C TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430777
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2333427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572287
—
NY
Enumeration date
05/19/2014
Last updated
09/23/2019
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