| NPI | 1265588271 |
|---|---|
| Professional Name | ANN L NICELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 464) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 00375) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-05-06 |