Individual provider · Type 1 NPI
Nicole M. Tierney, CRNP
Family Nurse Practitioner · Fogelsville, PA
NPI number
1184375305
Active
Practice location
1431 Nursery St # 102
Fogelsville, PA 18051-1612
Fax (610) 821-1358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP025042 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184375305
Nicole M. Tierney, CRNP's National Provider Identifier is 1184375305, issued on Jan 11, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fogelsville, PA. The record was last updated on Jan 11, 2022.