NPI

Sierra Elise-Jefferson Anderson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PAC
Type
Individual
Enumeration date
2020-01-27
Last updated
2020-12-18

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
915 E 1st St
City
Duluth MN
Postal code
55805-2107
Phone
(218) 249-5555

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Duluth, MN. 4,773 records in the public file.

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