Healthcare Provider Details

I. General information

NPI: 1225423866
Provider Name (Legal Business Name): CHRISTINA SCHULTE-PEREYRA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA SCHULTE RN

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SALMON CREEK LN
JUNEAU AK
99801-7864
US

IV. Provider business mailing address

PO BOX 32003
JUNEAU AK
99803-2003
US

V. Phone/Fax

Practice location:
  • Phone: 907-586-2434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number195019
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number36687
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: