Healthcare Provider Details

I. General information

NPI: 1003144536
Provider Name (Legal Business Name): CATHERINE SCHULTZ DNP, MN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2009
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E 12300 S STE R400
DRAPER UT
84020-4102
US

IV. Provider business mailing address

131 E 12300 S STE R400
DRAPER UT
84020-4102
US

V. Phone/Fax

Practice location:
  • Phone: 385-287-1877
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024168513
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1017399
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5813955-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: