Tierney, Bridget Mary
Tierney, Bridget Mary is an individual health care provider with primary practice located at 1500 Curve Crest Blvd W , Stillwater MN 55082-6040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tierney, Bridget Mary can be contacted via phone (651) 439-1234.Contact Information
Primary practice address
1500 Curve Crest Blvd W
Stillwater MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 439-1547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 8992 | Minnesota |
Profile Details
| NPI number | 1932182425 |
|---|---|
| LBN Legal business name | Tierney, Bridget Mary |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Dec 13th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932182425 | NPPES |
| Wisconsin | MEDICAID | 41920100 |
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