Individual
MS. KELLY S. SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
215 E WATER ST, SUSQUEHANNA HEALTH SKILLED NURSING & REHAB CENTER, MUNCY, PA 17756-8828
(570) 546-4040
(570) 546-4095
Mailing address
215 E WATER ST, MUNCY, PA 17756-8828
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP004718B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073317020002
—
PA
Enumeration date
05/02/2006
Last updated
02/02/2015
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