MS. MARYELLEN THERESE KIERNAN R.N. NPI 1013234509

NPI Information

  • NPI: 1013234509
  • Provider Name: MS. MARYELLEN THERESE KIERNAN, R.N.
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 459 S BROADWAY
    HICKSVILLE, NY
    ZIP 11801
  • Phone: (516) 938-7568

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NPI Details

MS. Maryellen Therese Kiernan, R.N. is a psychiatric/mental health and adult registered nurse in Hicksville, NY. MS. Maryellen Therese Kiernan, R.N. NPI is 1013234509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

459 S BROADWAY
HICKSVILLE, NY
ZIP 11801-023
Phone: (516) 938-7568
Fax: (516) 938-7097

The enumeration date for this NPI number is 4/23/2010 and was last updated on 4/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult188169NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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