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NPI Code Detail

MEDICARE: SIERRA RENEE SOUTH

MEDICARE: SIERRA RENEE SOUTH
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1437728433
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA RENEE SOUTH
Provider Business Mailing Address
First Line : 401 S DEWEY AVE STE 108
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74003-3525
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 S DEWEY AVE STE 108
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74003-3525
Country : US
Telephone Number : 918-336-0810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 05/19/2025

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1073194619 — KYLEE KRYSTINE ALMENDAREZ
Practice Location Address:
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Directions to “ SIERRA RENEE SOUTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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