| Doctor Name: | MRS. NICHOLE MICHELLE RENSCHLER |
| NPI Number: | 1023180007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | PA15389 |
| Business Practice Address: | 999 S Fairmont Ave Suite 130 Lodi, CA - 952405100 |
| Business Phone Number: | 2093662001 |
| Business Fax Number: | |
| Mailing Address: | 600 Coffee Rd, MODESTO |
| State: | CA |
| Postal Code: | 953554201 |
| Phone Number: | 2095216097 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | PA15389 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |