Healthcare Provider Details

I. General information

NPI: 1982520508
Provider Name (Legal Business Name): SIERRA BERTELSON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRA CHRISTINE DEMARSH

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 HORSE PEN CREEK RD STE 105
GREENSBORO NC
27410-8390
US

IV. Provider business mailing address

2723 HORSE PEN CREEK RD STE 105
GREENSBORO NC
27410-8390
US

V. Phone/Fax

Practice location:
  • Phone: 336-265-1762
  • Fax: 336-510-1000
Mailing address:
  • Phone: 336-265-1762
  • Fax: 336-510-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024749
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: