Individual
NICOLE HEINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-2403
Mailing address
PO BOX 113, MONONA, IA 52159-0113
(563) 329-0666
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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