Provider Demographics
NPI:1942085394
Name:SMITH, CIERRA
Entity Type:Individual
Prefix:MS
First Name:CIERRA
Middle Name:
Last Name:SMITH
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 1:3108 MILL CREEK DR APT 8
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9498
Mailing Address - Country:US
Mailing Address - Phone:313-829-7037
Mailing Address - Fax:
Practice Address - Street 1:3108 MILL CREEK DR APT 8
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9498
Practice Address - Country:US
Practice Address - Phone:313-829-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula