Healthcare Provider Details

I. General information

NPI: 1942128285
Provider Name (Legal Business Name): MISCHEL FAMILY PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 SIERRA ROSE DR STE B
RENO NV
89511-2076
US

IV. Provider business mailing address

1 E LIBERTY ST STE 600
RENO NV
89501-2154
US

V. Phone/Fax

Practice location:
  • Phone: 775-260-4702
  • Fax:
Mailing address:
  • Phone: 775-260-4702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NOLAN MISCHEL
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 702-768-5420