Healthcare Provider Details

I. General information

NPI: 1396741799
Provider Name (Legal Business Name): ROBERT K SCHULZ N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E HARMONY RD UNIT 100
FORT COLLINS CO
80528-3401
US

IV. Provider business mailing address

2121 E HARMONY RD SUITE 100
FORT COLLINS CO
80528-3400
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-1000
  • Fax: 970-297-6860
Mailing address:
  • Phone: 970-221-1000
  • Fax: 970-297-6860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number79268
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number60259
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: