Healthcare Provider Details

I. General information

NPI: 1295610897
Provider Name (Legal Business Name): SIERRA BYRN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W LEOTA ST
NORTH PLATTE NE
69101-6525
US

IV. Provider business mailing address

601 W LEOTA ST
NORTH PLATTE NE
69101-6525
US

V. Phone/Fax

Practice location:
  • Phone: 308-530-8000
  • Fax:
Mailing address:
  • Phone: 308-530-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number117055
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: