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NPI Code Detail

MEDICARE: TASHA N SCHULTZ NP

MEDICARE: TASHA N SCHULTZ NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN220642GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679710040
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA N SCHULTZ NP
Provider Business Mailing Address
First Line : 100 TUPELO TRL
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-6911
Country : US
Telephone Number : 225-603-9535
Fax Number :
Provider Business Practice Location Address
First Line : 2324 US HIGHWAY 17
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-3398
Country : US
Telephone Number : 912-756-2531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2009
Last Update Date : 09/12/2016

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Directions to “ TASHA N SCHULTZ NP” Practice Location

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