Individual
VANESSA SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-8879
(208) 367-4050
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-8879
(208) 367-4050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
19749
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
55603
ID
Other
Enumeration date
01/11/2011
Last updated
05/10/2017
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