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

Individual provider Certified Registered Nurse Anesthetist · NPI 1710696745

Peter Tierney, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Plymouth, Minnesota. Qualified in 2022, 4 years ago. Practices with North Metro Anesthesia Services PA, a 14-clinician group. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 559-3779
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2801 (MN)

Record details

NPI number1710696745
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing addressPo Box 47159, Plymouth, MN 55447-0159

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Metro Anesthesia Services Pa — 14 clinicians
Accepts Medicare assignment Not indicated

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