Individual
MRS. TIERNEY KATHLEEN ELISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
330 MT AUBURN ST, STANTON 1ST FLOOR, CAMBRIDGE, MA 02138-5502
(617) 499-5151
(617) 547-0636
Mailing address
330 MT AUBURN ST, PARSONS 2, CAMBRIDGE, MA 02138-5597
(617) 499-5151
(617) 547-0636
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM00183
RI
367A00000X
Advanced Practice Midwife
Primary
RN2318216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162456A
—
MA
Enumeration date
07/11/2019
Last updated
09/08/2025
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