Healthcare Provider Details

I. General information

NPI: 1730643958
Provider Name (Legal Business Name): MARY M SCHULZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY M SPIESE ARNP

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S 6TH ST
COLUMBIA PA
17512-1572
US

IV. Provider business mailing address

50 S 6TH ST
COLUMBIA PA
17512-1572
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-6371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019941
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: