MEDICARE: ABBIGAYLE SCHULTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WX0200X	Oncology Registered Nurse	2482294	MN
2	363LF0000X	Family Nurse Practitioner	12926	MN

General Provider Information

NPI Number	:	1013718097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBIGAYLE SCHULTZ

Provider Business Mailing Address
First Line	:	1411 VERMILLION ST
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-2844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 VERMILLION ST
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-2844
Country	:	US
Telephone Number	:	763-516-5323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	06/12/2026

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Directions to “ ABBIGAYLE SCHULTZ ” Practice Location

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