Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS DEPHILLIPO, ST, SA
ActiveNICHOLAS DEPHILLIPO, ST, SA is a Athletic Trainer healthcare provider located in EAGAN, Minnesota. NPI 1992113534 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EAGAN, MN
Registration Details
- NPI Number
- 1992113534
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2014 (12.021853525013 yrs)
- Last Updated
- Jun 5, 2019
- License
-
3236 (MN)
Practice Information
- Address
-
2700 VIKINGS CIREAGAN, MN, 55121Browse MN providers · Browse ZIP 55121
- Phone
- 9524567600
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| MR. BRADLEY DEAN MACK | LATC | 1588785265 |
| CHAD J KRAWIEC | ATC | 1841419256 |
| MRS. JENNA LYNN ARNOLD | ATC, ATL | 1073749263 |
| ANNA LYNN CONNELLY | ATC | 1639510845 |
| DERRICK DAVIS | — | 1801203609 |
| KARA BETH ROSE | — | 1700268828 |
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.