Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANN LOUISE NICELY, PHYSICIAN ASSISTANT
ActiveANN LOUISE NICELY, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in FAIRMONT, West Virginia. NPI 1265588271 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRMONT, WV
Registration Details
- NPI Number
- 1265588271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2007 (19.513222724292 yrs)
- Last Updated
- May 6, 2009
- Licenses
-
00375 (WV)464 (WV)
Practice Information
- Address
-
60 ROXBURY RDWHITEHALL MEDICAL, PLLCFAIRMONT, WV, 265548223Browse WV providers · Browse ZIP 26554
- Phone
- 3043636600
- Fax
- 3043637700
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FAIRMONT, WV
| Name | Credential | NPI |
|---|---|---|
| MS. RUBINA K DASILVA | PAC | 1104887405 |
| MS. PATRICIA ANN PARRISH | PA-C | 1699714014 |
| MR. PHILLIP NORTHEY | PHYSICIAN ASSISTANT | 1952457970 |
| CHRISTINA MICHELLE MANCHIN-NEWLON | PA | 1386800126 |
| MONICA LYNN SHAFFER | PA-C | 1902034606 |
| MR. TYSON E BUBNAR | PA-C | 1720312861 |
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.