Individual provider · Type 1 NPI

Zaniyah Ann Nickerson

Student in an Organized Health Care Education/Training Program · St. Davids, PA

NPI number 1831008564 Active

Practice location

1300 Eagle Rd
St. Davids, PA 19087-3617

Mailing address

813 E Haines St
Philadelphia, PA 19138-1729

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7 other providers at this address

About NPI 1831008564

Zaniyah Ann Nickerson's National Provider Identifier is 1831008564, issued on Sep 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Davids, PA. The record was last updated on Sep 7, 2026.