Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENNA NICOLE MARDLIN, MS, ATC, EMT, OPE-C
ActiveMCKENNA NICOLE MARDLIN, MS, ATC, EMT, OPE-C is a Athletic Trainer healthcare provider located in DETROIT, Michigan. NPI 1295596013 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DETROIT, MI
Registration Details
- NPI Number
- 1295596013
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2024 (2.5799971540629 yrs)
- Last Updated
- Jun 19, 2025
- Licenses
-
2601003117 (MI)2017040 (MI)
Practice Information
- Address
-
4001 W MCNICHOLS RDDETROIT, MI, 482213038Browse MI providers · Browse ZIP 48221
- Phone
- 3136232109
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Emergency Medical Technician, Basic
Other Athletic Trainer Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTINE KAY SMITH | MS, ATC | 1033194154 |
| NICOLE L SCHREIBER | ATC | 1205852621 |
| MR. MICHAEL A FABBRI | AT, ATC | 1982618773 |
| ELIZABETH A HUBBARD | ATC | 1649353459 |
| MR. MARCUS ALEXANDER EBEJER | ATC | 1316094899 |
| MS. MARIA BLOKDIJK | ATC-NASM-PES | 1639227325 |
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.