Healthcare Provider Details

I. General information

NPI: 1043230162
Provider Name (Legal Business Name): DEBORAH L SCHUTZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 11/27/2023
Certification Date: 09/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 E 116TH ST SUITE 300
FISHERS IN
46038-2820
US

IV. Provider business mailing address

6626 E 75TH ST SUITE 500
INDIANAPOLIS IN
46250-2890
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-1500
  • Fax: 317-621-1509
Mailing address:
  • Phone: 317-621-1504
  • Fax: 317-621-1509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71000819A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71000819A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: