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NPI Code Detail

MEDICARE: SIERRA SHORT

MEDICARE: SIERRA SHORT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1700729340
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA SHORT
Provider Business Mailing Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-8191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ SIERRA SHORT ” 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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