TIERNEY ROSE LARA

BROWNSBURG, IN
NPI1841754470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  F06190055)
Additional Taxonomies163WG0000X Registered Nurse, General Practice
(Licence: IN  28188051A)
Enumeration Date2019-01-28
Last Update Date2019-12-23
Business Address
TIERNEY ROSE LARA
69 E GARNER RD
BROWNSBURG, IN 46112-7698
Phone number: 317-852-3616
Mailing Address
TIERNEY ROSE LARA
502 MARENGO TRL
WESTFIELD, IN 46074-8550
Phone number: 317-617-9505