IndividualActive
Shannon Tierney, MD
NPI 1861055980 · Neurology Physician · Boise, ID
Provider details
- NPI number
- 1861055980
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-7335
Fax: (208) 381-7227
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 1959 Ne Pacific StSeattle, WA 98195-0001Phone: (716) 622-1981
Registry dates
- Enumerated
- 2019-04-15
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.