Individual
KATELYN NICEWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
607 E JUBAL EARLY DR, WINCHESTER, VA 22601-5178
(540) 536-2232
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110-006824
VA
363A00000X
Physician Assistant
Primary
0110006824
VA
Other
Enumeration date
08/05/2019
Last updated
09/15/2023
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