| Doctor Name: | DR. TIERNEY LYNNE TIREY |
| NPI Number: | 1710102991 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 5410 |
| Business Practice Address: | 1825 Civic Center Dr North Las Vegas, NV - 890307113 |
| Business Phone Number: | 7026428313 |
| Business Fax Number: | 7026428903 |
| Mailing Address: | 1825 Civic Center Dr, NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 890307113 |
| Phone Number: | 7026428313 |
| Fax Number: | 7026428903 |
| NPI Enumeration Date: | 04/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |