Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Patricia Tierney, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1457307324

Mrs. Mary Patricia Tierney, NURSEPRACTITIONER is a Nurse Practitioner in Wildwood, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

16555 Manchester Rd Ste 110
Wildwood, MO 63040-1220
Phone: (636) 405-3155
Fax: (636) 405-3162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 066801 (MO)

Record details

NPI number1457307324
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 21, 2015

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