Kristina Elizabeth Tiernan, RDN is a
Dietitian, Registered based in Holt, Michigan. Kristina Elizabeth Tiernan is licensed to practice in New York (license number 1058645) and her current practice location is
3500 Mountain Glade Dr, Apt 11, Holt, Michigan. She can be reached at her office (for appointments etc.) via phone at
(603) 440-8623.
NPI number for Kristina Elizabeth Tiernan is 1073966008 and her current mailing address is 3500 Mountain Glade Dr, Apt 11, Holt, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073966008.
Healthcare Provider's Profile
Full Name | Kristina Elizabeth Tiernan |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 3500 Mountain Glade Dr, Holt, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073966008
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 07/14/2016
Medical Identifiers
Medical identifiers for Kristina Elizabeth Tiernan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073966008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1058645 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristina Elizabeth Tiernan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristina Elizabeth Tiernan, RDN 3500 Mountain Glade Dr, Apt 11, Holt, MI 48842-7745 Ph: (603) 440-8623 | Kristina Elizabeth Tiernan, RDN 3500 Mountain Glade Dr, Apt 11, Holt, MI 48842-7745 Ph: (603) 440-8623 |
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