Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | PA15389 | CA |
NPI | 1023180007 |
---|---|
Provider Name | Mrs. Nichole Michelle Renschler |
First Address | Sacramento, CA 95865-5228 |
Second Address | Elk Grove, CA 95758-7902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0PA153890 | (05) | CA |
970013594 | RAILROAD MEDICARE (01) | CA |
GR0068230 | (05) | CA |
GR0068231 | (05) | CA |
GR0068232 | (05) | CA |
GR0068233 | (05) | CA |
GR0068235 | (05) | CA |
GR006823B | (05) | CA |
P10235 | (02) | |
ZZZ47673Z | BLUE SHIELD (01) | CA |
ZZZ47675Z | BLUE SHIELD (01) | CA |
ZZZ47676Z | BLUE SHIELD (01) | CA |
ZZZ62306Z | BLUE SHIELD (01) | CA |