Individual
MAVIS A SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3100 N HILLSIDE ST, WICHITA, KS 67219-3904
(316) 682-3100
(316) 618-8537
Mailing address
3100 N HILLSIDE ST, WICHITA, KS 67219-3904
(316) 682-3100
(316) 618-8537
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44028
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015757
OPERATED UNDER MD MEDICARE PIN/UPIN NUMBER
KS
01
—
B68645
OPERATED UNDER MD UPIN NUMBER
KS
Enumeration date
09/08/2010
Last updated
09/08/2010
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