Healthcare Provider Details

I. General information

NPI: 1720563240
Provider Name (Legal Business Name): ALYSSA MARIE SCHUTZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALYSSA MARIE BILLUE NP

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1164 E SPRUCE ST
SAULT SAINTE MARIE MI
49783-2539
US

IV. Provider business mailing address

1164 E SPRUCE ST
SAULT SAINTE MARIE MI
49783-2539
US

V. Phone/Fax

Practice location:
  • Phone: 765-242-2847
  • Fax:
Mailing address:
  • Phone: 765-242-2847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704438560
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP138964
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11020112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: