Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mildred Vannicola, MS, ATC

Individual provider Athletic Trainer · NPI 1710483326

Mildred Vannicola, MS, ATC is an Athletic Trainer in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT004865 (PA)

Record details

NPI number1710483326
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESApril 3, 2018

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