Colleen Mary Nolan, ATC
Individual provider Active NPI Athletic Trainer · Harwich, MA
NPI 1104858802 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104858802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0752 (MA)
- Practice address
- 4 Derby LN
Harwich, MA 02645-1655 - Phone
- (508) 737-4054
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0752 | MA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0752 | MA | Yes |
Addresses
Primary practice location
4 Derby LN
Harwich, MA 02645-1655
Mailing address
4 Derby LN
Harwich, MA 02645-1655
Phone (508) 737-4054
Other providers in Harwich, MA
- Monomoy Regional School District
- Justin Morgan
- Lindsay Muto
- Qiang Nai
- Carol J Sutherland Nickerson
- North Country Associates, Inc.
- Yvonne Mary O'Connor
- Elizabeth Grace O'Grady
- Oceanside Health PLLC
- Orthopedic & Sports Physical Therapy of Cape Cod LLC
All providers in Harwich, MA · Athletic Trainer in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.