Individual
ELIZABETH GRACE NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40412 SPECTACULAR BID PL, LEESBURG, VA 20176-7176
(703) 715-7462
Mailing address
40412 SPECTACULAR BID PL, LEESBURG, VA 20176-7176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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