Emily Yvonne Nicholson, ATC, LAT is a
Specialist/technologist - Athletic Trainer physician based in Waterboro, Maine. Emily Yvonne Nicholson is licensed to practice in Maine (license number AT693) and her current practice location is 88 West Rd, Waterboro, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 247-3141.
NPI number for Emily Yvonne Nicholson is 1699231977 and her current mailing address is 12 Thornton Ave # 101, Saco, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699231977.
Physician's Profile
Full Name | Emily Yvonne Nicholson |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 88 West Rd, Waterboro, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699231977
- Provider Enumeration Date: 02/12/2019
- Last Update Date: 02/12/2019
Medical Identifiers
Medical identifiers for Emily Yvonne Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699231977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | AT693 (Maine) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT693 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Yvonne Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Emily Yvonne Nicholson, ATC, LAT 12 Thornton Ave # 101, Saco, ME 04072-2891 Ph: (207) 294-8448 | Emily Yvonne Nicholson, ATC, LAT 88 West Rd, Waterboro, ME 04087-3209 Ph: (207) 247-3141 |
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