Provider Demographics
NPI:1659301927
Name:FOX-TIERNEY, RACHEL ANNE (LM, CPM)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ANNE
Last Name:FOX-TIERNEY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23800 GREY PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-8518
Mailing Address - Country:US
Mailing Address - Phone:916-397-5476
Mailing Address - Fax:
Practice Address - Street 1:6940 DESTINY DR
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2987
Practice Address - Country:US
Practice Address - Phone:916-223-7731
Practice Address - Fax:916-249-2093
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM#188176B00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife