Nicole Maalouf Shively, PA

NPI #1023671617 in Roanoke, Virginia

Provider Information

NPI Number
1023671617
Entity Type
Individual
Name
Nicole Maalouf Shively, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Apr 18, 2019
Last Updated
Jul 31, 2024

Practice Location

Address
1622 WESTOVER AVE SW
ZIP Code
24015-5216
Phone
(339) 368-1887

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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