Individual
MS. BONNIE C KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10 ALDEN ST, NATICK, MA 01760-1002
(508) 863-1089
Mailing address
15 SKYLINE DR, MEDWAY, MA 02053-2429
(508) 533-1956
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
152179
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0799149
INDEPENDENT NURSEPROVIDER
MA
Enumeration date
04/12/2007
Last updated
07/08/2007
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