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Contact Information

SIERRA BRADEEN
1009 SILVER ST
ELKO, NV89801-3936
 Phone: 775-397-3486
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for SIERRA BRADEEN · (Female)

NPI # 1548797392
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2017
Last updated 05/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NV Medicaid 1780936435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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