Healthcare Provider Details
I. General information
NPI: 1821992454
Provider Name (Legal Business Name): RACHEL M SHELDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1090 PINE RIDGE DR
RENO NV
89509-3628
US
IV. Provider business mailing address
1090 PINE RIDGE DR
RENO NV
89509-3628
US
V. Phone/Fax
- Phone: 425-420-7682
- Fax:
- Phone: 425-420-7682
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156F00000X |
| Taxonomy | Technician/Technologist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246Z00000X |
| Taxonomy | Other Specialist/Technologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: