Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE CIVIDANES, ATC
Active Sole ProprietorJACQUELINE CIVIDANES, ATC is a Athletic Trainer healthcare provider located in BLOOMFIELD, New Jersey. NPI 1922408293 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLOOMFIELD, NJ
Registration Details
- NPI Number
- 1922408293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2014 (11.931450216499 yrs)
- Last Updated
- Aug 24, 2014
- License
-
25MT00192200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
467 FRANKLIN STATHLETICS DEPARTMENTBLOOMFIELD, NJ, 070033425Browse NJ providers · Browse ZIP 07003
- Phone
- 9737489000
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLOOMFIELD, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. CARL ADRIAN PAYNE | A.T.C. | 1679775506 |
| MS. JENNA L. BIDOGLIO | ATC | 1962824367 |
| LAUREN MASTROBUONI | ATC | 1932640919 |
| JOANNA MARIE POTTER | — | 1093214868 |
| KENNY LAURENT | — | 1003300260 |
| FREDERIC JIMENEZ | ATC, CSCS, USAW | 1912556564 |
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.