Individual
DEBRA S SHULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
766 N SUN DR STE 3030, LAKE MARY, FL 32746-2555
(407) 444-2800
(407) 444-2810
Mailing address
807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 32789-4870
(407) 894-4693
(407) 261-3869
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
ARNP9371456
FL
363L00000X
Nurse Practitioner
Primary
ARNP9371456
FL
363LA2200X
Adult Health Nurse Practitioner
900474
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003891
—
NC
01
—
EIN
59-1561574
FL
Enumeration date
04/24/2006
Last updated
07/21/2022
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