Individual
NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PES
Contact information
Practice address
24 BAY RIDGE DR, APT E, NASHUA, NH 03062-4706
(603) 508-1542
Mailing address
24 BAY RIDGE DR, APT E, NASHUA, NH 03062-4706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0519
NH
2255A2300X
Athletic Trainer
AH1936AT
MA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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