Provider Demographics
NPI:1821555764
Name:SELL, CIERRA AMBER (CNP)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:AMBER
Last Name:SELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CIERRA
Other - Middle Name:AMBER
Other - Last Name:PODGORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5300 HARROUN RD STE 10
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2146
Practice Address - Country:US
Practice Address - Phone:419-824-1952
Practice Address - Fax:419-824-0344
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN410796163WC0200X
OHAPRN.CNP.025808363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine