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NPI Code Detail

MEDICARE: MS. SARAH ALEXANDRIA SHULTZ FNP-C

MEDICARE: MS. SARAH ALEXANDRIA SHULTZ FNP-C
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
1363LF0000XFamily Nurse Practitioner34111TN

General Provider Information

NPI Number : 1417631144
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH ALEXANDRIA SHULTZ FNP-C
Provider Business Mailing Address
First Line : 2000 STEIN DR
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1690
Country : US
Telephone Number : 423-648-8480
Fax Number : 423-648-8481
Provider Business Practice Location Address
First Line : 2000 STEIN DR
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1690
Country : US
Telephone Number : 423-648-8480
Fax Number : 423-648-8481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2023
Last Update Date : 08/28/2025

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