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NPI Code Detail

MEDICARE: MRS. SIERRA JOY SANTELLANA PA-C

MEDICARE: MRS. SIERRA JOY SANTELLANA PA-C
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
1363A00000XPhysician AssistantPA08309TX
2363A00000XPhysician Assistant13777GA
3363A00000XPhysician Assistant2026001876MO

General Provider Information

NPI Number : 1245578046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SIERRA JOY SANTELLANA PA-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 1201 FANNIN ST STE 262
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6943
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 02/25/2026

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