Healthcare Provider Details

I. General information

NPI: 1053743021
Provider Name (Legal Business Name): LYNETTE SCHULTZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNETTE OBERG

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9981 S HEALTHPARK DR
FORT MYERS FL
33908-3618
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-6860
  • Fax: 239-985-3528
Mailing address:
  • Phone: 239-343-3332
  • Fax: 239-343-3921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN2138412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: