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NPI Code Detail

MEDICARE: HAILEY CLAREESE SIERRA

MEDICARE:   HAILEY CLAREESE SIERRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1083121271
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY CLAREESE SIERRA
Provider Business Mailing Address
First Line : 3135 SEAWIND DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99516-3461
Country : US
Telephone Number : 757-880-3596
Fax Number :
Provider Business Practice Location Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2018
Last Update Date : 04/09/2025

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Directions to “ HAILEY CLAREESE SIERRA ” Practice Location

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