Individual
NICOLE RENEE NEUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LAT, ATC, CSCS
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-6363
Mailing address
739 LANIER CRES, PORTSMOUTH, VA 23707-1344
(810) 841-2331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001097
VA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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