Healthcare Provider Details

I. General information

NPI: 1124182324
Provider Name (Legal Business Name): ARMIDA TREZZA SCHULTZ CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13847 E 14TH #216
SAN LEANDRO CA
94578
US

IV. Provider business mailing address

13847 E 14TH #216
SAN LEANDRO CA
94578
US

V. Phone/Fax

Practice location:
  • Phone: 510-351-1193
  • Fax: 510-351-6456
Mailing address:
  • Phone: 510-351-1193
  • Fax: 510-351-6456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberCDE 0952-0441
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: