Individual
SUSAN LEIGH SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CNS, FNP
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
432365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195088301
—
TX
01
—
8Y8547
BCBS
TX
Enumeration date
06/05/2008
Last updated
03/27/2013
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