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1245578046

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
1	363A00000X	Physician Assistant	PA.0009841	CO
2	363A00000X	Physician Assistant	PA01006	MS
3	363A00000X	Physician Assistant	13777	GA
4	363A00000X	Physician Assistant	PA.2867	AL
5	363A00000X	Physician Assistant	3448	NE
6	363A00000X	Physician Assistant	PA08309	TX
7	363A00000X	Physician Assistant	2026001876	MO
8	363A00000X	Physician Assistant	6903	TN
9	363A00000X	Physician Assistant	2867	AL

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	:	05/22/2026

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Directions to “ MRS. SIERRA JOY SANTELLANA PA-C” Practice Location

Language	Start Address	Practice Location

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