Healthcare Provider Details

I. General information

NPI: 1841168937
Provider Name (Legal Business Name): ERICA DANIELLE SCHULTE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 TOWER CT
SAINT AUGUSTINE FL
32092-0292
US

IV. Provider business mailing address

101 TOWER CT
SAINT AUGUSTINE FL
32092-0292
US

V. Phone/Fax

Practice location:
  • Phone: 618-781-8313
  • Fax:
Mailing address:
  • Phone: 618-781-8313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11043998
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: