Individual
TINA K SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116770-30
RN LIC
WI
01
—
5068-33
APNP LIC
WI
Enumeration date
09/27/2012
Last updated
04/01/2021
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