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Contact Information

TIERNEY J DONOVAN, RN
24276 AIRPORT RD
EAGLE BUTTE, SD57625-8021
 Phone: 605-964-7724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for TIERNEY J DONOVAN · (Female)

NPI # 1891306585
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/14/2020
Last updated 08/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # R053227
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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