Individual
MS. SUSAN T SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP
Contact information
Practice address
2112 DUNDALK AVE, BALTIMORE, MD 21222
(410) 288-4800
(410) 288-2475
Mailing address
3100 WYMAN PARK DR, STE 359A, BALTIMORE, MD 21211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R135328
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718300300
—
MD
Enumeration date
09/08/2006
Last updated
05/09/2013
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