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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MAALOUF SHIVELY, PA

Active

NICOLE MAALOUF SHIVELY, PA is a Physician Assistant healthcare provider located in ROANOKE, Virginia. NPI 1023671617 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROANOKE, VA

Registration Details

NPI Number
1023671617
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2019 (7.1791848125469 yrs)
Last Updated
Jul 31, 2024
License
0010-10795 (NC)

Practice Information

Address
1622 WESTOVER AVE SW
ROANOKE, VA, 240155216
Browse VA providers · Browse ZIP 24015
Phone
3393681887
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROANOKE, VA

Name Credential NPI
CLYDE W WOODYARD PA-C 1720083785
PAMELA LAPRADE PA-C 1326047564
JOSEPH RANDOLPH HOWELL PA-C 1649271461
LAUREN E GOATER-MATHIS PA-C 1235130519
AMY J OSTERMANN PA-C 1912980491
MR. JOSEPH BUCKNER EDDINS III PA 1285611269
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.