NPI 1265897821

Nicole M Edwards, ATCLAT

Practitioner Athletic Trainer Oshkosh, WI

Practice location

Address: 2700 W 9th Ave Suite 125, Oshkosh, WI 54904-7247
Phone: (920) 223-0636
Fax: (920) 223-0370

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1074-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1265897821
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2015
Record last updated: 3 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.