Individual provider · Type 1 NPI
Lauren Kathleen Tierney, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1760783252
Active
Practice location
615 S New Ballas Rd, Suite YG-230
St. Louis, MO 63141-8221
Mailing address
3412 Leverenz Dr
St. Charles, MO 63301-0544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2005011432 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1760783252
Lauren Kathleen Tierney, CPNP's National Provider Identifier is 1760783252, issued on Nov 15, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Feb 23, 2023.