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

Nicole Mia Bonacorso

Individual provider Athletic Trainer · NPI 1679303648

Nicole Mia Bonacorso is an Athletic Trainer in Ann Arbor, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1200 S State St
Ann Arbor, MI 48109-2203
Phone: (408) 761-6632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1679303648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

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