Individual
DANIELLE LAUREN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 TURNPIKE RD, SOUTHBOROUGH, MA 01772-2108
(508) 481-1015
Mailing address
17 LAKEVIEW AVE, NATICK, MA 01760-4251
(315) 420-2001
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2269978
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2269978
MA
Other
Enumeration date
06/26/2021
Last updated
05/27/2022
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