Individual
SIERRA NICOLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
46 TOWN CENTER PLZ STE A, MILL CREEK, WV 26280-9752
(304) 335-2050
Mailing address
PO BOX 247, MILL CREEK, WV 26280-0247
(304) 335-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
81130
WV
Other
Enumeration date
02/24/2017
Last updated
12/18/2024
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