Mace, Sierra Brooke
Mace, Sierra Brooke is an individual health care provider with primary practice located at 601 Maple Ave , New Martinsville WV 26155-1420. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mace, Sierra Brooke can be contacted via phone (304) 455-1990.Contact Information
Primary practice address
601 Maple Ave
New Martinsville WV 26155-1420
Phone: (304) 455-1990
Fax: (304) 455-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 100620 | West Virginia |
Profile Details
| NPI number | 1124635875 |
|---|---|
| LBN Legal business name | Mace, Sierra Brooke |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2020 |
| Last updated | Sep 28th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124635875 | NPPES |
| West Virginia | Other | 0000 | N/A |
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