National Provider Identifier
Amber Marie Nichols, MS, ATC, PES
Amber Marie Nichols, MS, ATC, PES is listed in the NPPES registry with a primary specialty of Athletic Trainer in Brockport, NY and a listed phone number of (585) 750-0749.
Profile Overview
- NPI
- 1124248976
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- April 26, 2007
- Last Updated
- July 08, 2007
Practice Location
- 92 West Ave
- Brockport, NY 14420-1306
Phone: (585) 750-0749
Mailing Address
- 65 Peppermint Dr
- Rochester, NY 14615-1242
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1124248976
- Entity Type
- Individual
- Last Name
- Nichols
- First Name
- Amber
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- MS, ATC, PES
- Mailing Street Address
- 65 Peppermint Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-1242
- Mailing Country
- US
- Mailing Phone
- (585) 621-9105
- Practice Street Address
- 92 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1306
- Practice Country
- US
- Practice Phone
- (585) 750-0749
- Enumeration Date
- April 26, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)