| Ann Louise Nicely, PHYSICIAN ASSISTANT | |
|
60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554-8223 | |
| (304) 363-6600 | |
| (304) 363-7700 |
| Full Name | Ann Louise Nicely |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 60 Roxbury Rd, Fairmont, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265588271 | NPI | - | NPPES |
| S99643 | Other | WV | WV WORKER'S COMP |
| P00455326 | Other | WV | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 00375 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 464 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Louise Nicely, PHYSICIAN ASSISTANT 60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554-8223 Ph: (304) 363-6600 | Ann Louise Nicely, PHYSICIAN ASSISTANT 60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554-8223 Ph: (304) 363-6600 |
Ms. Rubina K Dasilva, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 | |
Christina Michelle Manchin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 181 Middletown Cir, Fairmont, WV 26554 Phone: 304-367-1970 Fax: 304-367-1980 | |
Mr. Nicholas C Vance, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7100 | |
Tayla Jo Anderson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1325 Locust Ave Ste 4b, Fairmont, WV 26554 Phone: 304-974-3297 Fax: 304-974-3299 | |
Amanda Marie Skrinjorich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7100 | |
Amy Gruber, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7541 |