Nickolaus Brunker
Nickolaus Brunker is a Student in an Organized Health Care Education/Training Program in Elkins Park, Pennsylvania. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2021 Mather Way Apt BElkins Park, PA 19027-1032
Phone: (208) 720-6809
Show map & directions
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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 AT-759 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1912473109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 16, 2018 |
| Last updated in NPPES | October 21, 2020 |
| Certification date | October 21, 2020 |
| Mailing address | 2863 N Mountain Rd, Boise, ID 83702-0650 |
Other providers in Elkins Park
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Suma Ancha, MD
60 Township Line Rd, Elkins Park, PA 19027-2220 · (215) 663-6677
-
Brenda E Castillo, MD
60 Township Line Rd, Elkins Park, PA 19027 · (215) 663-6652
-
Musa Dolley, DO
60 Township Line Rd, Elkins Park, PA 19027-2220 · (215) 663-6043
-
Surya Gourneni, MD
60 Township Line Rd, Elkins Park, PA 19027-2220 · (215) 663-6000
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Michael J Kwasniewski, MD
60 Township Line Rd, Elkins Park, PA 19027-2220 · (215) 663-6677