Individual
HEATHER SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
123 E MAIN ST, AMANDA, OH 43102-1111
(740) 969-4828
(740) 969-4818
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
COA.09588-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.09588-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2837274
—
OH
01
—
CD3781
MEDICARE RAILROAD
OH
Enumeration date
09/26/2007
Last updated
12/13/2016
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