Individual
KATELYN SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(570) 594-7412
Mailing address
2538 EMILS WAY, RHINELANDER, WI 54501-8030
(570) 594-7412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199089-30
WI
163W00000X
Registered Nurse
R 218101-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 199089-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7278-33
ADVANCED PRACTICE NURSE PRESCRIBER
WI
Enumeration date
08/04/2016
Last updated
04/12/2017
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