Provider Demographics
NPI:1194537373
Name:ZIERENBERG, TIERRA MARIE ALAN
Entity type:Individual
Prefix:
First Name:TIERRA
Middle Name:MARIE ALAN
Last Name:ZIERENBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 TOUZALIN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-1657
Mailing Address - Country:US
Mailing Address - Phone:402-314-9638
Mailing Address - Fax:
Practice Address - Street 1:3911 TOUZALIN AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-1657
Practice Address - Country:US
Practice Address - Phone:402-314-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider