KRISTINE TIERNEY

CROWN POINT, IN
NPI1932624020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28227179A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041.368412)
163W00000X Registered Nurse
(Licence: IN  28227179A)
Enumeration Date2017-08-09
Last Update Date2020-09-28
Business Address
KRISTINE TIERNEY CRNA
9301 CONNECTICUT DR
CROWN POINT, IN 46307-7486
Phone number: 547-596-9558
Mailing Address
KRISTINE TIERNEY CRNA
1004 PARKWAY AVE
ELKHART, IN 46516-9348
Phone number: 574-596-9558