Active NPIIndividual provider

Emily Y Nicholson, ATC, LAT

Specialist/Technologist, Athletic Trainer in Waterboro, Maine

NPI Number1699231977
Practice location
88 West RD, Waterboro, ME 04087-3209
Fax
207-247-3146
Last updated
February 12, 2019

Emily Yvonne Nicholson is a Specialist/Technologist, Athletic Trainer based in Waterboro, ME. Emily Yvonne Nicholson practices in Waterboro, ME and has the professional credentials of ATC, LAT. The NPI Number for Emily Yvonne Nicholson is 1699231977 and holds a License No. AT693 (ME). The current practice location address for Emily Yvonne Nicholson is 88 West RD, Waterboro, ME 04087-3209 and can be reached out via phone at 207-247-3141 and via fax at 207-247-3146.

Provider Profile Details

NPI Number
1699231977
Provider Name
Emily Yvonne Nicholson
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
88 West RD, Waterboro, ME 04087-3209
Phone Number
207-247-3141
Fax Number
207-247-3146
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2019
Last Update Date
February 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 West RD
Waterboro, ME 04087-3209
State
Maine
Zip
04087-3209
Phone Number
207-247-3141
Fax Number
207-247-3146
Waterboro, ME 04087Get directions →

Provider Business Mailing Address Details

Address
12 Thornton Ave # 101
Saco, ME 04072-2891
City
Saco
State
ME
Zip
04072-2891
Phone Number
207-294-8448

License Information

License Number (1)
AT693
License State (1)
ME
License Number (2)
AT693
License State (2)
ME
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Emily Y Nicholson, ATC, LAT?

The NPI number of Emily Y Nicholson, ATC, LAT is 1699231977. It was assigned on February 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Emily Y Nicholson, ATC, LAT?

Emily Y Nicholson, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT693.

Where does Emily Y Nicholson, ATC, LAT practice?

The practice location is 88 West RD, Waterboro, ME 04087-3209. The office can be reached at 207-247-3141 (phone) or 207-247-3146 (fax).

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 1699231977 directly on the NPPES registry website.

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