Provider Demographics
NPI:1073255527
Name:SCHUCH, RENEE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SCHUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 S RAINBOW BLVD STE 131
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6208
Mailing Address - Country:US
Mailing Address - Phone:702-368-6880
Mailing Address - Fax:702-213-9042
Practice Address - Street 1:3311 S RAINBOW BLVD STE 131
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6208
Practice Address - Country:US
Practice Address - Phone:702-368-6880
Practice Address - Fax:702-213-9042
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10204-PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care