Tierney, Kathryn W

Tierney, Kathryn W is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tierney, Kathryn W can be contacted via phone (860) 224-5672.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002731 Connecticut

Profile Details

NPI number 1174526784
LBN Legal business name Tierney, Kathryn W
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated May 7th, 2013 - about 11 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 1174526784 NPPES
Connecticut MEDICAID 004227171

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