Provider Demographics
NPI:1437937380
Name:SCHULTZ, ASHLI (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLI
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 NE DEER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-8011
Mailing Address - Country:US
Mailing Address - Phone:515-291-9089
Mailing Address - Fax:
Practice Address - Street 1:1980 NW 94TH ST STE EF
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-6935
Practice Address - Country:US
Practice Address - Phone:515-415-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA176436363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily