MEDICARE: MRS. ASHLI SCHULTZ 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
1	363LF0000X	Family Nurse Practitioner	A176436	IA

General Provider Information

NPI Number	:	1437937380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLI SCHULTZ FNP-C

Provider Business Mailing Address
First Line	:	1705 NE DEER CREEK DR
Second Line	:
City	:	ANKENY
State	:	IA
Zip	:	50021-8011
Country	:	US
Telephone Number	:	515-291-9089
Fax Number	:

Provider Business Practice Location Address
First Line	:	1980 NW 94TH ST STE EF
Second Line	:
City	:	CLIVE
State	:	IA
Zip	:	50325-6935
Country	:	US
Telephone Number	:	515-415-1550
Fax Number	:

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

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	09/04/2024

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