Healthcare Provider Details

I. General information

NPI: 1457495038
Provider Name (Legal Business Name): MARCIA A SCHULZ ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST SUITE 300
AKRON OH
44304-1437
US

IV. Provider business mailing address

95 ARCH ST SUITE 300
AKRON OH
44304
US

V. Phone/Fax

Practice location:
  • Phone: 330-376-7000
  • Fax: 330-253-0853
Mailing address:
  • Phone: 330-376-7000
  • Fax: 330-253-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP 04729
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.04729
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: