Healthcare Provider Details

I. General information

NPI: 1134050503
Provider Name (Legal Business Name): TARYN D SCHULTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 BOB O LINK LN
MADISON WI
53714-3319
US

IV. Provider business mailing address

4701 BOB O LINK LN
MADISON WI
53714-3319
US

V. Phone/Fax

Practice location:
  • Phone: 608-515-6410
  • Fax:
Mailing address:
  • Phone: 608-515-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number25847030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: