Individual
SAMANTHA ELAINE SHOULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3922 VENETIAN WAY, ST 2, NEWBURGH, IN 47630
(812) 999-3277
(812) 518-1722
Mailing address
3922 VENETIAN WAY, ST 2, NEWBURGH, IN 47630
(812) 999-3277
(812) 518-1722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28224617A
IN
363L00000X
Nurse Practitioner
Primary
71010484A
IN
Other
Enumeration date
10/20/2015
Last updated
06/14/2023
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