Provider Demographics
NPI:1730921602
Name:VOGEL, SIERRA K (PA-C)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:K
Last Name:VOGEL
Suffix:
Gender:F
Credentials:PA-C
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7142 CHATHAM GLENN SW
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-1306
Mailing Address - Country:US
Mailing Address - Phone:724-709-1559
Mailing Address - Fax:
Practice Address - Street 1:14 DOCTORS CIR STE 3
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4088
Practice Address - Country:US
Practice Address - Phone:910-754-7075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical