NPI 1073735213

Staci Mace, LPN

Practitioner Licensed Practical Nurse Clarksburg, WV

Practice location

Address: 706 Oakmound Rd, Clarksburg, WV 26301-9398
Phone: (304) 622-7511
Mailing address: 202 Bishop Ave, Grafton, WV 26354-1502

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 28011 (WV)

Other Licensed Practical Nurse providers in West Virginia →

Registry record

NPI: 1073735213
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.