Provider Demographics
NPI:1467339747
Name:SCHLICKENMEYER, NICOLETTE RENEE (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:NICOLETTE
Middle Name:RENEE
Last Name:SCHLICKENMEYER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 MCCONNELL LN
Mailing Address - Street 2:
Mailing Address - City:WHITEMAN AFB
Mailing Address - State:MO
Mailing Address - Zip Code:65305-1207
Mailing Address - Country:US
Mailing Address - Phone:325-977-2125
Mailing Address - Fax:
Practice Address - Street 1:702 E YOUNG AVE
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-9610
Practice Address - Country:US
Practice Address - Phone:816-922-2165
Practice Address - Fax:816-922-4863
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1084968163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse