Individual
MISS ANNE MARIE TIERNEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
137 MONTEREY DR, BOLINGBROOK, IL 60440-2315
(630) 410-8934
Mailing address
137 MONTEREY DR, BOLINGBROOK, IL 60440-2315
(630) 410-8934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041339553
IL
163W00000X
Registered Nurse
154353-30
WI
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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