IndividualActive
Mary Tierney, NURSE PRACTITIONER
NPI 1457307324 · Nurse Practitioner · Wildwood, MO
Provider details
- NPI number
- 1457307324
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 066801 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16555 Manchester Rd
Suite 110
Wildwood, MO 63040-1220
Phone: (636) 405-3155
Fax: (636) 405-3162
Street-level locationGet directions
Mailing address
16555 Manchester Rd
Wildwood, MO 63040-1220
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2015-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.