Doctor Name: | DR. PAMELA SCHULTZ |
NPI Number: | 1215393905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 9414958 |
Business Practice Address: | N29w27496 Peninsula Dr Pewaukee, WI - 530724326 |
Business Phone Number: | 4145503834 |
Business Fax Number: | |
Mailing Address: | N29w27496 Peninsula Dr, PEWAUKEE |
State: | WI |
Postal Code: | 530724326 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/11/2016 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 9414958 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |