Individual
MS. MALLORY NICOLE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1170 MICHIGAN RD, PORT HURON, MI 48060-4658
(810) 987-1700
Mailing address
3025 BLOSSOM CIR, SAGINAW, MI 48603-5208
(989) 701-0276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704313474
MI
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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