Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ELIZABETH HEIMARK, MS, LAT, ATC
Active Sole ProprietorNICOLE ELIZABETH HEIMARK, MS, LAT, ATC is a Athletic Trainer healthcare provider located in CAMP PENDLETON NORTH, California. NPI 1760971279 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CAMP PENDLETON NORTH, CA
Registration Details
- NPI Number
- 1760971279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2018 (8.2257698512956 yrs)
- Last Updated
- Aug 12, 2021
- License
-
36003249A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520445 SAN JUAN RD.CAMP PENDLETON NORTH, CA, 92055Browse CA providers · Browse ZIP 92055
- Phone
- 2623432197
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.