Healthcare Provider Details

I. General information

NPI: 1679698096
Provider Name (Legal Business Name): RENEE MICHELLE NIKULA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 VERNON ST SUITE B
ROSEVILLE CA
95678-2600
US

IV. Provider business mailing address

755 CROSSWIND DR
SACRAMENTO CA
95838-2253
US

V. Phone/Fax

Practice location:
  • Phone: 916-284-0091
  • Fax: 916-485-2347
Mailing address:
  • Phone: 916-284-0091
  • Fax: 916-485-2347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: