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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISIDORA NICHOLS, ATC, LAT

Active Sole Proprietor

ISIDORA NICHOLS, ATC, LAT is a Athletic Trainer healthcare provider located in SAINT JOHNS, Florida. NPI 1194065870 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SAINT JOHNS, FL

Registration Details

NPI Number
1194065870
Provider Type
Individual
Gender
Female
NPI Issued
Feb 18, 2013 (13.49845049018 yrs)
Last Updated
Feb 18, 2013
License
AL 2854 (FL)
Sole Proprietor
Yes

Practice Information

Address
115 BARTRAM OAKS WALK
STE. 104
SAINT JOHNS, FL, 322593243
Browse FL providers · Browse ZIP 32259
Phone
9042400471
Fax
9042400471
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SAINT JOHNS, FL

Name Credential NPI
SHELLY VANN LAT, ATC 1528580891
BRITTNI ROA 1790298701
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.