MEDICARE: EMILY CATHLEEN SIERRA APRN

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
1	363LF0000X	Family Nurse Practitioner	11045831	FL
2	163W00000X	Registered Nurse	RN333055	GA

General Provider Information

NPI Number	:	1467253393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CATHLEEN SIERRA APRN

Provider Business Mailing Address
First Line	:	2304 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3330
Country	:	US
Telephone Number	:	407-377-5831
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 ALOMA AVE STE 200
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3330
Country	:	US
Telephone Number	:	407-377-5831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/05/2026

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