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Individual

PATRICIA TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
210 E FAIRFAX ST APT 100, FALLS CHURCH, VA 22046-2906
(321) 626-0386
Mailing address
1738 ANDERSON RD, FALLS CHURCH, VA 22043-1142
(321) 626-0386

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
269391
NC
163W00000X
Registered Nurse
9249909
FL
163WC0200X
Critical Care Medicine Registered Nurse
0001212323
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1047884
DC

Other

Enumeration date
08/23/2017
Last updated
10/30/2019
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