Provider Demographics
NPI:1841863651
Name:BAIRD, SIERRA NICHOLE
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:NICHOLE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 GOLDEN LN
Mailing Address - Street 2:
Mailing Address - City:APPLE GROVE
Mailing Address - State:WV
Mailing Address - Zip Code:25502-9405
Mailing Address - Country:US
Mailing Address - Phone:304-360-3489
Mailing Address - Fax:
Practice Address - Street 1:537 GOLDEN LN
Practice Address - Street 2:
Practice Address - City:APPLE GROVE
Practice Address - State:WV
Practice Address - Zip Code:25502-9405
Practice Address - Country:US
Practice Address - Phone:304-360-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant