=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942128285
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MISCHEL FAMILY PRACTICE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2026
-----------------------------------------------------
Last Update Date | 07/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 689 SIERRA ROSE DR STE B
-----------------------------------------------------
City | RENO
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89511-2076
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-260-4702
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 E LIBERTY ST STE 600
-----------------------------------------------------
City | RENO
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89501-2154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-260-4702
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | NOLAN MISCHEL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 702-768-5420
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------