Search › Virginia › 363A00000X
Nicole Shively, PA
NPI 1023671617 · on the registry since 2019
Practice
- Address
- 1622 Westover Ave Sw
Roanoke, VA 24015 - Phone
- (339) 368-1887
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia