Provider Demographics
NPI:1619121787
Name:SEIFERT, SIERRA DAWN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:DAWN
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 PINE RD NE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-2885
Mailing Address - Country:US
Mailing Address - Phone:360-440-9323
Mailing Address - Fax:
Practice Address - Street 1:3302 PINE RD NE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-2885
Practice Address - Country:US
Practice Address - Phone:360-440-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60041691175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath