Provider Demographics
NPI:1215422373
Name:SAUNDERS, SIERRA M (AAS, ADS)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:M
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:AAS, ADS
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:M
Other - Last Name:RICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:913 W HOLMES RD STE 275
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-0432
Mailing Address - Country:US
Mailing Address - Phone:517-272-0520
Mailing Address - Fax:
Practice Address - Street 1:913 W HOLMES RD STE 275
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-0432
Practice Address - Country:US
Practice Address - Phone:517-272-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management