Provider Demographics
NPI:1053149443
Name:COLE, SIERRA SARAE
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:SARAE
Last Name:COLE
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 1:25451 BRIARDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-2255
Mailing Address - Country:US
Mailing Address - Phone:216-798-0440
Mailing Address - Fax:
Practice Address - Street 1:25451 BRIARDALE AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2255
Practice Address - Country:US
Practice Address - Phone:216-798-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide