Nicole Marie Parker, ATC
Specialist/Technologist, Athletic Trainer in Fairview, PA. Individual provider (NPI-1).
NPI number1174875355
StatusActive
Last updated in NPPESOct 11, 2012
Details
- NPI
- 1174875355
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Marie Parker
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2012
- Last updated
- Oct 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT001680A | PA | Yes |
Practice location
7460 McCray RdFairview School District
Fairview, PA 16415-2401
Phone 814-474-3121 · Fax 814-474-9814
Mailing address
7460 McCray RdFairview School District
Fairview, PA 16415-2401
Phone 814-474-3121 · Fax 814-474-9814
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