Healthcare Provider Details

I. General information

NPI: 1275069254
Provider Name (Legal Business Name): RIKKELLE SCHULTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RIKKELLE KLEIN-SCHULTE

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 W CHARLESTON BLVD SUITE 140
LAS VEGAS NV
89146-9001
US

IV. Provider business mailing address

6600 W CHARLESTON BLVD SUITE 140
LAS VEGAS NV
89146-9001
US

V. Phone/Fax

Practice location:
  • Phone: 702-437-4673
  • Fax: 702-438-4673
Mailing address:
  • Phone: 702-437-4673
  • Fax: 702-438-4673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: