Individual
SAMANTHA RUTH SIMMONS SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8000 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1755
(901) 747-3630
Mailing address
739 LANCELOT CV, COLLIERVILLE, TN 38017-6119
(901) 591-0304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36460
TN
367500000X
Certified Registered Nurse Anesthetist
901980
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q096880
—
TN
Enumeration date
04/27/2024
Last updated
02/10/2026
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