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NPI Code Detail

MEDICARE: TERRI-ELLEN J KIERNAN NP

MEDICARE: TERRI-ELLEN J KIERNAN 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
1363L00000XNurse PractitionerRN095827AZ
2363L00000XNurse PractitionerAP2846AZ
3363LF0000XFamily Nurse PractitionerAPN.0991323-NPCO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00625104OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104018274
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI-ELLEN J KIERNAN NP
Provider Business Mailing Address
First Line : 2695 ROCKY MOUNTAIN AVE STE 150
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8155 PINEY RIVER AVE STE 100
Second Line :
City : LITTLETON
State : CO
Zip : 80125-8729
Country : US
Telephone Number : 303-265-3390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 07/15/2021

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Directions to “ TERRI-ELLEN J KIERNAN NP” Practice Location

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