Provider Demographics
NPI:1821375742
Name:OGLIVIE, SIERRA LEEANN
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:LEEANN
Last Name:OGLIVIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 N BERKLEY CIR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3315
Mailing Address - Country:US
Mailing Address - Phone:513-485-8580
Mailing Address - Fax:
Practice Address - Street 1:3755 N BERKLEY CIR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3315
Practice Address - Country:US
Practice Address - Phone:513-485-8580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant