Individual
BETHANY K SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
901 4TH ST NW, WATERTOWN, SD 57201-1558
(605) 886-8471
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP4220
MN
363LF0000X
Family Nurse Practitioner
Primary
CP000730
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP4220
MN BOARD OF NURSING
MN
Enumeration date
07/30/2012
Last updated
09/09/2024
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