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Nicole Faso, AT
Student in an Organized Health Care Education/Training Program in Athens, Ohio
NPI 1275998130

Nicole Faso is a Student in an Organized Health Care Education/Training Program based in Athens, OH. Nicole Faso practices in Athens, OH and has the professional credentials of AT. The NPI Number for Nicole Faso is 1275998130 and holds a License No. AT.004741 (Ohio).

The current practice location address for Nicole Faso is 363 Richland Ave, Athens, OH and can be reached out via phone at 716-785-3733. You can also correspond with Nicole Faso through the mailing address at 363 RICHLAND AVE, ATHENS, OH - 45701-3210 (mailing address contact number: ).

Location: 363 Richland Ave, Athens, OH, 45701-3210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275998130
Provider Name
Nicole Faso
Credential
AT
Provider Entity Type
Individual
Gender
Female
Address
363 Richland Ave, Athens, OH, 45701-3210
Phone Number
716-785-3733
Fax Number
Provider Enumeration Date
12/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
363 Richland Ave
City
Athens
State
Ohio
Zip
45701-3210
Phone Number
716-785-3733
Fax Number
person
Provider Business Mailing Address Details
Address
363 Richland Ave
City
Athens
State
Ohio
Zip
45701-3210
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
AT.004741 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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