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
Fax: (304) 455-5536
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124635875 NPPES
West Virginia Other 0000 N/A

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