Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EWELL R VERNON, ATC
Active Sole ProprietorEWELL R VERNON, ATC is a Athletic Trainer healthcare provider located in CANA, Virginia. NPI 1790429991 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CANA, VA
Registration Details
- NPI Number
- 1790429991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2022 (4.2822551246964 yrs)
- Last Updated
- Apr 24, 2022
- Licenses
-
LAT-2587 (NC)0126001616 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1029 OAK RIDGE RDCANA, VA, 243174160Browse VA providers · Browse ZIP 24317
- Phone
- 3366485211
- 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.