Provider Demographics
NPI:1447145750
Name:SIERRA, KATELYN VICTORIA (RN)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:VICTORIA
Last Name:SIERRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 EUCLID AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-3613
Mailing Address - Country:US
Mailing Address - Phone:619-936-8347
Mailing Address - Fax:
Practice Address - Street 1:286 EUCLID AVE STE 302
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-3613
Practice Address - Country:US
Practice Address - Phone:619-936-8347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95341920163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse