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

SHAYLA ALYSON VANGURP, ATC

Active Sole Proprietor

SHAYLA ALYSON VANGURP, ATC is a Athletic Trainer healthcare provider located in MORICHES, New York. NPI 1316426745 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MORICHES, NY

Registration Details

NPI Number
1316426745
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2018 (8.2250551028811 yrs)
Last Updated
Aug 7, 2018
License
2000033529 (NY)
Sole Proprietor
Yes

Practice Information

Address
630 MORICHES MIDDLE ISLAND RD
MORICHES, NY, 119551506
Browse NY providers · Browse ZIP 11955
Phone
6318745505
Primary Specialty
Athletic Trainer
2255A2300X
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.