Doctor Name: | KRISTIN M SCHULTZ |
NPI Number: | 1487999868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 5183-33 |
Business Practice Address: | 200 E Tyranena Park Road Lake Mills, WI - 535519678 |
Business Phone Number: | 9206488393 |
Business Fax Number: | 9206483656 |
Mailing Address: | 200 E Tyranena Park Road, LAKE MILLS |
State: | WI |
Postal Code: | 535519678 |
Phone Number: | 9206488393 |
Fax Number: | 9206483656 |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5183-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |