Provider Demographics
NPI:1760104772
Name:BIGNELL, SIERRA (PA-C)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:BIGNELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MT
Mailing Address - Zip Code:59713-0222
Mailing Address - Country:US
Mailing Address - Phone:406-980-0040
Mailing Address - Fax:
Practice Address - Street 1:609 10TH AVE S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4078
Practice Address - Country:US
Practice Address - Phone:406-430-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant