Individual
JOANNE C SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2134 SANDY DR STE 16, STATE COLLEGE, PA 16803-2292
(814) 272-5805
(814) 272-0110
Mailing address
2134 SANDY DR STE 16, STATE COLLEGE, PA 16803-2292
(814) 272-5805
(814) 272-0110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP004244-B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340344
HIGHMARK BS
PA
01
—
500030393
RAILROAD MEDICARE
PA
01
—
50017752
CAPITAL BC/BS
PA
Enumeration date
10/03/2005
Last updated
10/31/2019
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