Tierney, Darlene

Tierney, Darlene is an individual health care provider with primary practice located at 11140 Montgomery Rd Ste 1300 , Montgomery OH 45249-2309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tierney, Darlene can be contacted via phone (859) 331-0774.

Contact Information

Primary practice address
11140 Montgomery Rd Ste 1300 Montgomery OH 45249-2309
Phone: (859) 331-0774
Fax: (859) 578-3800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003443 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0027524 Ohio

Profile Details

NPI number 1174526057
LBN Legal business name Tierney, Darlene
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174526057 NPPES
Indiana MEDICAID 201069770
Indiana MEDICAID 78004918
Indiana MEDICAID 0062228
Indiana Other 500016674

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