Individual
MRS. SIERRA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1263 S GEORGE ST STE 300, CHARLES TOWN, WV 25414-4384
(443) 383-3000
Mailing address
2105 MANUEL DR, FAIRMONT, WV 26554-9761
(304) 627-9212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117158
WV
Other
Enumeration date
09/30/2022
Last updated
07/24/2023
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