Provider Demographics
NPI:1295322105
Name:STOWE, TIERNEY LYN (BA)
Entity type:Individual
Prefix:MRS
First Name:TIERNEY
Middle Name:LYN
Last Name:STOWE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 41ST ST NW APT 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-4963
Mailing Address - Country:US
Mailing Address - Phone:202-696-0661
Mailing Address - Fax:
Practice Address - Street 1:2300 41ST ST NW APT 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4963
Practice Address - Country:US
Practice Address - Phone:202-696-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-26
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide