Healthcare Provider Details

I. General information

NPI: 1144933169
Provider Name (Legal Business Name): BRITTNEY SCHULTZ REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W METROPOLITAN DR STE 404
ORANGE CA
92868-3504
US

IV. Provider business mailing address

4000 W METROPOLITAN DR STE 404
ORANGE CA
92868-3504
US

V. Phone/Fax

Practice location:
  • Phone: 714-645-8045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number95225423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: