Individual
KRISTIE NICOLE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MAPLEVIEW ROAD EXT, POUGHKEEPSIE, NY 12603-6247
(845) 486-4970
(845) 350-4177
Mailing address
11 MAPLEVIEW ROAD EXT, POUGHKEEPSIE, NY 12603-6247
(845) 486-4970
(845) 350-4177
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
752520
NY
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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