Provider Demographics
NPI:1164265229
Name:SELL, SCHYLAR ALYSSA MARIE
Entity type:Individual
Prefix:
First Name:SCHYLAR
Middle Name:ALYSSA MARIE
Last Name:SELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:QUINN
Other - Middle Name:
Other - Last Name:SELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7555 RAMBLING RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-7647
Mailing Address - Country:US
Mailing Address - Phone:408-849-3375
Mailing Address - Fax:
Practice Address - Street 1:890 MILL ST STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1436
Practice Address - Country:US
Practice Address - Phone:702-410-7825
Practice Address - Fax:702-946-0409
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker