Individual
MRS. SIERRA DANIELLE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
482 HAWTHORNE DR NE, NORTON, VA 24273-2970
(276) 437-3000
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004385
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235557752
—
VA
01
—
P01759267
RAILROAD MEDICARE
VA
Enumeration date
04/01/2014
Last updated
06/02/2023
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