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1922836642
KATHLEEN TIERNEY
BOISE, ID
NPI
1922836642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 8961768)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
KATHLEEN TIERNEY NP
701 E PARKCENTER BLVD
BOISE, ID 83706-6528
Phone number: 208-381-6500
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Mailing Address
KATHLEEN TIERNEY NP
1109 W HOLLAND AVE
NAMPA, ID 83651-1867
Phone number: 208-965-7795
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