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

Q: What is Mildred Vannicola's NPI number?

The NPI number for Mildred Vannicola is 1710483326. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Mildred Vannicola's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Mildred Vannicola was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 23, 2026.

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About Mildred Vannicola Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILDRED VANNICOLA MS, ATC (NPI 1710483326) is an individual athletic trainer provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RT004865) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1710483326

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMILDRED VANNICOLACredential: MS, ATC

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address1806 Green St Apt 110Philadelphia, PA 19130-3971

Phone(215) 707-2111

Sole ProprietorNo

Enumeration DateApril 3, 2018

✔ NPI 1710483326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in PA · RT004865

Definition

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.

3401 N BROAD ST, Philadelphia, PA 19140

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMIE L. GARFIELD MD

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