Individual
ABIGAIL HOUSE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3100 KENNARD ST STE 230, SAINT PAUL, MN 55109-5465
(651) 397-0570
Mailing address
3100 KENNARD ST STE 230, SAINT PAUL, MN 55109-5465
(651) 397-0570
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
11/08/2024
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