Individual
SHERRY BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 MAIN AVE, PINEVILLE, WV 24874-6000
(304) 682-8238
Mailing address
PO BOX 1650, PINEVILLE, WV 24874-1650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74676
WV
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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