MILDRED VANNICOLA MS, ATC
NPI 1710483326
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

Active since April 03, 2018
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2111 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About MILDRED VANNICOLA

This page provides the complete NPI Profile along with additional information for Mildred Vannicola, a provider established in Philadelphia, Pennsylvania with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1710483326 assigned on April 2018. The practitioner's primary taxonomy code is 2255A2300X with license number RT004865 (PA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1710483326 Verify this NPI
Provider Name
MILDRED VANNICOLA MS, ATC
Gender
Female
Entity Type
Individual
Location Address
3401 N BROAD ST PHILADELPHIA, PA 19140
Location Phone
(215) 707-2111
Mailing Address
1806 GREEN ST APT 110 PHILADELPHIA, PA 19130
Is Sole Proprietor?
No
Enumeration Date
04-03-2018
Last Update Date
04-03-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
RT004865
License State
PA
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pharmacist (Pharmacotherapy)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Gastroenterology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Interventional Cardiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Nephrology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Nuclear Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Physical Medicine & Rehabilitation
3401 N BROAD ST, BSMT ROCK PAVILION
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FL OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FLOOR OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FL OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FL OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140
Internal Medicine (Hematology & Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Nephrology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710483326, enumerated as an "individual" on April 03, 2018.

The provider is located at 3401 N BROAD ST PHILADELPHIA, PA 19140 and the phone number is (215) 707-2111.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.