Individual
MICHAEL EDWARD NICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6001 DODGE ST # 024, OMAHA, NE 68182-1057
(402) 598-3474
Mailing address
3302 WILHELMINIA DR, BELLEVUE, NE 68123-2732
(402) 598-3474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
656
NE
Other
Enumeration date
01/07/2011
Last updated
07/29/2021
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