Provider Demographics
NPI:1780400440
Name:HOPPER, SIERRA
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:HOPPER
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 1:6298 W RIVER RD S
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-5434
Mailing Address - Country:US
Mailing Address - Phone:440-494-0811
Mailing Address - Fax:
Practice Address - Street 1:6298 W RIVER RD S
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5434
Practice Address - Country:US
Practice Address - Phone:440-494-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-27
Last Update Date:2025-09-25
Deactivation Date:2025-03-25
Deactivation Code:
Reactivation Date:2025-09-25
Provider Licenses
StateLicense IDTaxonomies
OH190408164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse