Provider Demographics
NPI:1477021137
Name:MCALPINE, CIERRA ROCHELLE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CIERRA
Middle Name:ROCHELLE
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CIERRA
Other - Middle Name:ROCHELLE
Other - Last Name:BULLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:112 MIDLAKE CIR
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-3110
Mailing Address - Country:US
Mailing Address - Phone:315-251-4637
Mailing Address - Fax:
Practice Address - Street 1:112 MIDLAKE CIR
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-3110
Practice Address - Country:US
Practice Address - Phone:315-251-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-10
Last Update Date:2018-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315116164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse