Provider Demographics
NPI:1912548553
Name:HOLUB, SIERRA NICOLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:NICOLE
Last Name:HOLUB
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SIERRA
Other - Middle Name:NICOLE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:67304 WILLOW GROVE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9272
Mailing Address - Country:US
Mailing Address - Phone:740-296-4699
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6379
Practice Address - Country:US
Practice Address - Phone:304-243-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant