# JOANNE C SHULTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649267808
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | UP004244-B | PA | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 10/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 340344 | HIGHMARK BS | PA |
| 01 | — | 500030393 | RAILROAD MEDICARE | PA |
| 01 | — | 50017752 | CAPITAL BC/BS | PA |