Individual
ANNA J SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9788 STALEY RD, FRANKLIN, OH 45005-1134
(937) 241-3073
Mailing address
9788 STALEY RD, FRANKLIN, OH 45005-1134
(937) 241-3073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-093739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN-093739
LPN
OH
Enumeration date
02/26/2007
Last updated
07/08/2007
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