Doctor Name: | MS. ELLYN MARIE SCHOLZ |
NPI Number: | 1053667683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP-C |
License Number: | 720446 |
Business Practice Address: | 912 S Capital Of Texas Hwy Suite 100 West Lake Hills, TX - 787465264 |
Business Phone Number: | 5123068360 |
Business Fax Number: | |
Mailing Address: | 912 S Capital Of Texas Hwy, Suite 100 WEST LAKE HILLS |
State: | TX |
Postal Code: | 787465264 |
Phone Number: | 5123068360 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2012 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 720446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |