Healthcare Provider Details

I. General information

NPI: 1366468712
Provider Name (Legal Business Name): HEIDI SCHULZ PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 GRAVELY BRANCH RD
FLETCHER NC
28732-8438
US

IV. Provider business mailing address

270 GRAVELY BRANCH RD
FLETCHER NC
28732-8438
US

V. Phone/Fax

Practice location:
  • Phone: 828-552-5515
  • Fax:
Mailing address:
  • Phone: 828-552-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00025100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number0010-02784
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: