Search › West Virginia › 374U00000X
Nicole Sprouse
NPI 1982594602 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1021 32nd St
Vienna, WV 26105 - Phone
- (304) 210-4896
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia