Healthcare Provider Details

I. General information

NPI: 1235047713
Provider Name (Legal Business Name): ALBERT SHULER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 LAFAYETTE ST
MARIANNA FL
32446-3202
US

IV. Provider business mailing address

305 CRAFTSMAN DR
DOTHAN AL
36303-3067
US

V. Phone/Fax

Practice location:
  • Phone: 850-482-8520
  • Fax:
Mailing address:
  • Phone: 850-573-5142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048669
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: