Provider Demographics
NPI:1821854720
Name:GLENN, SIERRA JUNE
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:JUNE
Last Name:GLENN
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 1:317 W TALL OAK LN
Mailing Address - Street 2:
Mailing Address - City:BOYERS
Mailing Address - State:PA
Mailing Address - Zip Code:16020-2214
Mailing Address - Country:US
Mailing Address - Phone:724-504-7385
Mailing Address - Fax:
Practice Address - Street 1:317 W TALL OAK LN
Practice Address - Street 2:
Practice Address - City:BOYERS
Practice Address - State:PA
Practice Address - Zip Code:16020-2214
Practice Address - Country:US
Practice Address - Phone:724-504-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay
No374J00000XNursing Service Related ProvidersDoula