Doctor Name: | MRS. MARJORIE COOK TIERNEY |
NPI Number: | 1942571815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 389492403 |
Business Practice Address: | 5 Calkins Pl Ticonderoga, NY - 128831510 |
Business Phone Number: | 5185857400 |
Business Fax Number: | 5185854076 |
Mailing Address: | 5 Calkins Pl, TICONDEROGA |
State: | NY |
Postal Code: | 128831510 |
Phone Number: | 5185857400 |
Fax Number: | 5185854076 |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 389492403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |