Nicholas Scott Deshane, ATC, CSCS

Athletic Trainer · Camp Pendleton, CA

Individual Active NPI

NPI number 1841513694

Practice location

520420. Attn Smart Clinic
Soi West, Camp Pendleton
Camp Pendleton, CA 92055
Phone
(760) 725-7029

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NPI record

NPI
1841513694
Entity type
Individual (Type 1)
Enumeration date
March 9, 2010
Last updated
March 9, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

3979 32ND St
San Diego, CA 92104-2001
Phone
(209) 404-6353

About Nicholas Deshane

Nicholas Scott Deshane, ATC, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 520420. Attn Smart Clinic, Soi West, Camp Pendleton, Camp Pendleton, CA 92055. The NPI number 1841513694 was assigned on March 9, 2010 and the record was last updated on March 9, 2010.

Frequently asked questions

What is the NPI number of Nicholas Scott Deshane, ATC, CSCS?

The NPI number is 1841513694.

What is the phone number of Nicholas Deshane?

The phone number listed for the practice location is (760) 725-7029.

Where is Nicholas Deshane located?

520420. Attn Smart Clinic, Soi West, Camp Pendleton, Camp Pendleton, CA 92055.

What is the taxonomy code for Nicholas Deshane?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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