Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann Louise Nicely, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1265588271

Ann Louise Nicely, PHYSICIANASSISTANT is a Physician Assistant in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
Specialties on file
2

Practice location Address checks out

60 Roxbury Rd Whitehall Medical Pllc
Fairmont, WV 26554-8223
Phone: (304) 363-6600
Fax: (304) 363-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 464 (WV)
Physician Assistant Taxonomy 363A00000X · Licence 00375 (WV)

Record details

NPI number1265588271
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMay 6, 2009

Other providers in Fairmont