Individual
TIFFANY SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 792-9400
(435) 792-4800
Mailing address
257 E 500 N, LOGAN, UT 84321-4128
(801) 528-2619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7218743-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
7218743-4405
UT
Other
Enumeration date
05/14/2016
Last updated
01/24/2018
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