Mishaal Amjad, MS, ATC
Individual provider Active NPI Athletic Trainer · Waterville, ME
NPI 1427577832 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1427577832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 4900 Mayflower HL
Waterville, ME 04901-8849 - Phone
- (207) 859-4970
- NPI assigned
- Sep 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | ME | Yes |
Addresses
Primary practice location
4900 Mayflower HL
Waterville, ME 04901-8849
Mailing address
4900 Mayflower HL
Waterville, ME 04901-8849
Other practice location 1
19 Daisy Ct
Skillman, NJ 08558-2424
Phone (609) 802-2217
Other practice location 2
635 Commonwealth Ave
Boston, MA 02215-1605
Phone (609) 802-2217
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://colbyathletics.com/sports/2020/5/28/Sports-Medicine.aspx | Colby College |
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. 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.