Individual
SARA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 TOWN CENTER PLZ STE A, MILL CREEK, WV 26280-9752
(304) 636-0133
Mailing address
PO BOX 247, MILL CREEK, WV 26280-0247
(304) 636-0133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN6723-NP-C
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN67253
WV
Other
Enumeration date
02/07/2019
Last updated
12/18/2024
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