Provider Demographics
NPI:1164307955
Name:SCHIFFERDECKER, NICOLE LYNN (APRN)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:LYNN
Last Name:SCHIFFERDECKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:LYNN
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2470 SPRING FLOWER DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-6249
Mailing Address - Country:US
Mailing Address - Phone:775-682-0779
Mailing Address - Fax:
Practice Address - Street 1:2470 SPRING FLOWER DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6249
Practice Address - Country:US
Practice Address - Phone:775-682-0779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV892798363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily