Individual
ANITA ELLIEEN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-5780
Mailing address
1051 PORT WASHINGTON BLVD UNIT 1216, PORT WASHINGTON, NY 11050-0199
(347) 992-9275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
606829
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
606829
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404394
NY
Other
Enumeration date
04/04/2013
Last updated
08/20/2025
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