| Patience Tieri, | |
| 
					2490 Central Ave, Lake Station, IN 46405  | |
| (219) 763-8112 | |
| (219) 962-1580 | 
| Full Name | Patience Tieri | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2490 Central Ave, Lake Station, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720511785 | NPI | - | NPPES | 
| 300001810 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71007027A (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patience Tieri, Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112  | Patience Tieri, 2490 Central Ave, Lake Station, IN 46405 Ph: (219) 763-8112  | 
Mrs. Catherine Raquel Haluska, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112  | |
Mnyisei Elaine Kamvazaana, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112  | |
Mrs. Sharon Tutlewski, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-962-2760 Fax: 219-962-1757  | |
Samantha Ruder, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 811-221-9763  | |
Kaitlyn Anne Gilbert, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112  | |
Kristina Kirby Flanagan, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1808  |