LAUREN KATHLEEN TIERNEY-FORT CPNP NPI 1760783252

NPI Information

NPI: 1760783252
Provider Name: LAUREN KATHLEEN TIERNEY-FORT, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
615 S NEW BALLAS RD
SUITE YG-230
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-5399
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Lauren Kathleen Tierney-fort, CPNP is a pediatrics nurse practitioner in Saint Louis, MO. Lauren Kathleen Tierney-fort, CPNP NPI is 1760783252. 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:

615 S NEW BALLAS RD
SUITE YG-230
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-5399

The enumeration date for this NPI number is 11/15/2010 and was last updated on 7/30/2014.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	2005011432	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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