Individual
AVA NICOLE ELISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S COLLEGE AVE, NEWARK, DE 19716-5200
(302) 831-2792
Mailing address
150 GRAVEL HOLE RD, CAPE MAY COURT HOUSE, NJ 08210-1307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0011003
DE
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2025
Last updated
08/08/2026
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