Individual
TIERNEY MARIE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 E UNIVERSITY PKWY, 33RD ST. PROF. BLDG., SUITE 226, BALTIMORE, MD 21218-2829
(410) 299-2692
Mailing address
936 STORMONT CIR, HALETHORPE, MD 21227-3815
(410) 299-2692
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R170671
MD
Other
Enumeration date
12/09/2009
Last updated
12/14/2009
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