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

Nicole Vandzura

Individual provider Athletic Trainer · NPI 1003486895

Nicole Vandzura is an Athletic Trainer in Loris, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4751 Ansel Ln
Loris, SC 29569-6427
Phone: (732) 609-0775
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1003486895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Other providers in Loris