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