Sandra Alexis McTiernan, RN
Registered Nurse, General Practice in Ridgewood, NY. Individual provider (NPI-1).
NPI number1295375855
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1295375855
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sandra Alexis McTiernan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 682709-1 | NY | Yes |
Other names
- Sandra Youngblood (Former Name)
Practice location
1873 Hart St Fl 2Ridgewood, NY 11385-1122
Phone 917-554-5765
Mailing address
1873 Hart St Fl 2Ridgewood, NY 11385-1122
Phone 917-554-5765
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