Provider Demographics
NPI:1790297380
Name:HIRSCHI, NIKLAUS (NP-C, FNP)
Entity Type:Individual
Prefix:
First Name:NIKLAUS
Middle Name:
Last Name:HIRSCHI
Suffix:
Gender:M
Credentials:NP-C, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 COURT ST # 106
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-3947
Mailing Address - Country:US
Mailing Address - Phone:775-299-2820
Mailing Address - Fax:
Practice Address - Street 1:1910 IDAHO ST STE 101
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2635
Practice Address - Country:US
Practice Address - Phone:775-299-2820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV820300363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty