Provider Demographics
NPI:1992315550
Name:EASTEP, CIERRA NICOLE (BHCM II)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:NICOLE
Last Name:EASTEP
Suffix:
Gender:F
Credentials:BHCM II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 NW 63RD ST STE E200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3633
Mailing Address - Country:US
Mailing Address - Phone:405-849-9041
Mailing Address - Fax:405-286-0491
Practice Address - Street 1:3033 NW 63RD ST STE E200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3633
Practice Address - Country:US
Practice Address - Phone:405-849-9041
Practice Address - Fax:405-286-0491
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175T00000X
OK317529171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist