Provider Demographics
NPI:1275861437
Name:TIERNEY-STANKARD, KAREN ANN (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:TIERNEY-STANKARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HIGH PLAIN AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03052-2404
Mailing Address - Country:US
Mailing Address - Phone:339-237-1554
Mailing Address - Fax:
Practice Address - Street 1:7 HIGH PLAIN AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03052-2404
Practice Address - Country:US
Practice Address - Phone:339-237-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46510164W00000X
NH015053-22164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse