| Lillie Mae Nicholson, | |
|
419 Morgantown St, Kingwood, WV 26537-1095 | |
| (304) 329-3565 | |
| Not Available |
| Full Name | Lillie Mae Nicholson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 419 Morgantown St, Kingwood, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992428908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 19736 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lillie Mae Nicholson, 419 Morgantown St, Kingwood, WV 26537-1095 Ph: (304) 329-3565 | Lillie Mae Nicholson, 419 Morgantown St, Kingwood, WV 26537-1095 Ph: (304) 329-3565 |
Alisa Laurae Hillery, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 419 Morgantown St, Kingwood, WV 26537 Phone: 304-329-3565 Fax: 304-329-4709 | |
Misty Sue Shaffer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 Pierce St, Kingwood, WV 26537 Phone: 304-288-0638 | |
Theresa Dawn Bolyard, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 419 Morgantown St, Kingwood, WV 26537 Phone: 304-329-3565 | |
Carrie Ann Slaubaugh, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 419 Morgantown St, Kingwood, WV 26537 Phone: 304-329-3565 |