Individual provider · NPI-1

Sierra Gaines, RN

Registered Nurse, General Practice · Richmond, VA

NPI number1104573500
StatusActive
Last updated in NPPESMar 4, 2022

Details

NPI
1104573500
Entity type
Individual (NPI-1)
Name
Sierra Gaines
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 4, 2022
Certification date
Mar 4, 2022
Last updated
Mar 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice0001294775VAYes

Practice location

10431 Patterson Ave
Richmond, VA 23238-5101

Phone 804-349-5715

Mailing address

4008 Darton Ct
Richmond, VA 23223-1180

Phone 804-349-5715

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