Individual
SIERRA LYNN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 MON GENERAL DR, MORGANTOWN, WV 26505-2853
(304) 598-5151
Mailing address
15 SABINA ST, FAIRMONT, WV 26554-4974
(304) 694-2820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120643
WV
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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