Individual
MS. NICOLE ASHLEY BUTTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
91 S ORANGE AVE, LIVINGSTON, NJ 07039-4901
(973) 992-7000
Mailing address
134 NELSON ST, CLIFTON, NJ 07013-1173
(201) 245-4289
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00236500
NJ
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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