Provider Demographics
NPI:1609688001
Name:SCHLAGEL, REBECCA A (MSNRN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:SCHLAGEL
Suffix:
Gender:F
Credentials:MSNRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 E 104TH AVE UNIT 405
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9735
Mailing Address - Country:US
Mailing Address - Phone:970-310-0733
Mailing Address - Fax:
Practice Address - Street 1:14700 E 104TH AVE UNIT 405
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-9735
Practice Address - Country:US
Practice Address - Phone:970-310-0733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0191636163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse