Timothy Nicolello, ATC

NPI 1831475284 · on the registry since 2011

Practice

Address: 1109 W Myrtle St
Suite 200
Boise, ID 83702
Phone: (208) 874-3449
Organisation at this address: Boise Dialysis Partners Ii, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Other Specialist/Technologist
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho