Individual
MRS. MEGAN LEANN NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1000
Mailing address
PO BOX 3293, WISE, VA 24293-3293
(276) 870-1880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174398
VA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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