Lillie Mae Nicholson, - Licensed Practical Nurse in Kingwood, WV

Lillie Mae Nicholson, is a Licensed Practical Nurse based in Kingwood, West Virginia. Lillie Mae Nicholson is licensed to practice in West Virginia (license number 19736) and her current practice location is 419 Morgantown St, Kingwood, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 329-3565.

NPI number for Lillie Mae Nicholson is 1992428908 and her current mailing address is 419 Morgantown St, Kingwood, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992428908.

Contact Information

Lillie Mae Nicholson,
419 Morgantown St,
Kingwood, WV 26537-1095
(304) 329-3565
Not Available



Provider's Profile

Full NameLillie Mae Nicholson
GenderFemale
SpecialityLicensed Practical Nurse
Location419 Morgantown St, Kingwood, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992428908
  • Provider Enumeration Date: 09/23/2022
  • Last Update Date: 09/23/2022

Medical Identifiers

Medical identifiers for Lillie Mae Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992428908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 19736 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lillie Mae Nicholson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lillie Mae Nicholson,
419 Morgantown St,
Kingwood, WV 26537-1095

Ph: (304) 329-3565
Lillie Mae Nicholson,
419 Morgantown St,
Kingwood, WV 26537-1095

Ph: (304) 329-3565

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Kingwood, WV

Alisa Laurae Hillery, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 419 Morgantown St, Kingwood, WV 26537
Phone: 304-329-3565    Fax: 304-329-4709
Theresa Dawn Bolyard,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 419 Morgantown St, Kingwood, WV 26537
Phone: 304-329-3565    
Carrie Ann Slaubaugh, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 419 Morgantown St, Kingwood, WV 26537
Phone: 304-329-3565    

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