Provider Demographics
NPI:1114811783
Name:SOWARDS, SIERRA ROSE
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:ROSE
Last Name:SOWARDS
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:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:HANDLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25102-0207
Mailing Address - Country:US
Mailing Address - Phone:304-437-3049
Mailing Address - Fax:
Practice Address - Street 1:348 CHURCH HILL DR
Practice Address - Street 2:
Practice Address - City:HANDLEY
Practice Address - State:WV
Practice Address - Zip Code:25102-1804
Practice Address - Country:US
Practice Address - Phone:304-437-3049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant