Individual
MRS. SUE ELLEN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N., F.N.P.
Contact information
Practice address
525 N GARLAND AVE, FAYETTEVILLE, AR 72701-3110
(479) 575-6479
(479) 575-8793
Mailing address
2632 BENT TRL, SPRINGDALE, AR 72762-2576
(479) 575-6479
(479) 871-1573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01541
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A01541
A.P.N.
AR
01
—
MS0583698
D.E.A.
AR
01
—
R66359
R.N.
AR
Enumeration date
07/12/2006
Last updated
07/08/2007
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