Individual
SIERRA BROOKE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 MAPLE AVE, NEW MARTINSVILLE, WV 26155-1420
(304) 455-1990
(304) 455-5536
Mailing address
601 MAPLE AVE, NEW MARTINSVILLE, WV 26155-1420
(304) 455-1990
(304) 455-5536
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
100620
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
N/A
WV
Enumeration date
09/28/2020
Last updated
09/28/2020
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