| NPI | 1992089536 |
|---|---|
| Former Name | NICOLE SCHEDELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4991) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55672) |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 4991) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA 55672) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2025-01-11 |