MEDICARE: AMANDA TIERNEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	354278	NY

General Provider Information

NPI Number	:	1902634884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA TIERNEY NP

Provider Business Mailing Address
First Line	:	835 HOPKINS RD
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-2322
Country	:	US
Telephone Number	:	585-727-5844
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 HOPKINS RD
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14221-2322
Country	:	US
Telephone Number	:	716-688-5131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	01/06/2026

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Directions to “ AMANDA TIERNEY NP” Practice Location

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