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NPI Code Detail

MEDICARE: NICOLE LYNN SCHIFFERDECKER APRN

MEDICARE: NICOLE LYNN SCHIFFERDECKER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner892798NV

General Provider Information

NPI Number : 1164307955
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LYNN SCHIFFERDECKER APRN
Provider Business Mailing Address
First Line : 6255 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2882
Country : US
Telephone Number : 775-245-6117
Fax Number : 775-245-6118
Provider Business Practice Location Address
First Line : 6255 SHARLANDS AVE
Second Line :
City : RENO
State : NV
Zip : 89523-2882
Country : US
Telephone Number : 775-245-6117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 12/23/2025

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