Provider Demographics
NPI:1316392111
Name:SCHULZ, HALLE
Entity type:Individual
Prefix:
First Name:HALLE
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 S REGAL ST
Mailing Address - Street 2:APT F2047
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7922
Mailing Address - Country:US
Mailing Address - Phone:360-689-7952
Mailing Address - Fax:
Practice Address - Street 1:5015 S REGAL ST
Practice Address - Street 2:APT F2047
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7922
Practice Address - Country:US
Practice Address - Phone:360-689-7952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC60532556376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide