Provider Demographics
NPI:1366787582
Name:SCHULTZ, CHERYL ANN (NP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:20601 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-7341
Mailing Address - Country:US
Mailing Address - Phone:218-770-9637
Mailing Address - Fax:218-736-2818
Practice Address - Street 1:20601 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-7341
Practice Address - Country:US
Practice Address - Phone:218-770-9637
Practice Address - Fax:218-736-2818
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR064875-0363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health