Provider Demographics
NPI:1164052205
Name:SIERRA, LUCIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:SIERRA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7630 FRY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-3376
Mailing Address - Country:US
Mailing Address - Phone:346-818-2077
Mailing Address - Fax:
Practice Address - Street 1:19002 PARK ROW STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7060
Practice Address - Country:US
Practice Address - Phone:281-944-9813
Practice Address - Fax:832-321-3433
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-16
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily