Provider Demographics
NPI:1811428915
Name:OGIAMIEN, TIERRIA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:TIERRIA
Middle Name:
Last Name:OGIAMIEN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 PEACHTREE RD NE STE D635
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1148
Mailing Address - Country:US
Mailing Address - Phone:678-800-4992
Mailing Address - Fax:
Practice Address - Street 1:2221 PEACHTREE RD NE STE D635
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1148
Practice Address - Country:US
Practice Address - Phone:678-800-4992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9380321363LP0808X
GARN281935363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6385OtherMINNESOTA BOARD OF NURSING
FLARNP9380321OtherFLORIDA BOARD OF NURSING
GARN281935OtherGEORGIA BOARD OF NURSING
MS902618OtherMISSISSIPPI BOARD OF NURSING
AZAP11248OtherARIZONA BOARD OF NURSING