Ms. Nicole K Member, ATC
Specialist/Technologist, Athletic Trainer in Whippany, New Jersey
1174666895- Practice location
- 165 Whippany RD, Whippany, NJ 07981-1741
- Phone
- 973-887-3004
- Fax
- —
- Last updated
- July 8, 2007
Nicole Kimberly Member is a Specialist/Technologist, Athletic Trainer based in Whippany, NJ. Nicole Kimberly Member practices in Whippany, NJ and has the professional credentials of ATC. The NPI Number for Nicole Kimberly Member is 1174666895 and holds a License No. 25MT00111800 (NJ). The current practice location address for Nicole Kimberly Member is 165 Whippany RD, Whippany, NJ 07981-1741 and can be reached out via phone at 973-887-3004.
Provider Profile Details
- NPI Number
- 1174666895
- Provider Name
- Nicole Kimberly Member
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 165 Whippany RD, Whippany, NJ 07981-1741
- Phone Number
- 973-887-3004
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 14, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Whippany RD
Whippany, NJ 07981-1741 - City
- Whippany
- State
- New Jersey
- Zip
- 07981-1741
- Phone Number
- 973-887-3004
Provider Business Mailing Address Details
- Address
- 184 Dell Pl
Stanhope, NJ 07874-2735 - City
- Stanhope
- State
- NJ
- Zip
- 07874-2735
- Phone Number
- 973-951-9424
License Information
- License Number
- 25MT00111800
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Nicole K Member, ATC?
The NPI number of Ms. Nicole K Member, ATC is 1174666895. It was assigned on February 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Nicole K Member, ATC?
Ms. Nicole K Member, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00111800.
Where does Ms. Nicole K Member, ATC practice?
The practice location is 165 Whippany RD, Whippany, NJ 07981-1741. The office can be reached at 973-887-3004 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174666895 directly on the NPPES registry website.