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Individual

ANNA MARLENE SCHULTHEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
419 E LINCOLN RD, KOKOMO, IN 46902-3716
(765) 864-2400
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F06190299
IN
363LF0000X
Family Nurse Practitioner
Primary
71009528A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068010666
MEDICARE
IN
05
300032802
IN
Enumeration date
11/04/2019
Last updated
02/16/2025
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