Miss. Nicole Elizabeth Fallon, MS, LAT, ATC
Miss. Nicole Elizabeth Fallon, MS, LAT, ATC is an Athletic Trainer in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.
- Licensed in
- NJ
- In the registry since
- 2022
What do these letters mean?
Practice location Address checks out
238 Van Buren StNewark, NJ 07105-2512
Phone: (732) 640-3206
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 25MT00319200 (NJ) |
|---|
Record details
| NPI number | 1275289365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , LAT , ATC |
| Sole proprietor | No |
| NPI enumerated | February 27, 2022 |
| Last updated in NPPES | July 14, 2023 |
| Certification date | June 5, 2023 |
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