Provider Demographics
NPI:1922419811
Name:SCHULZ, NATHAN P (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:P
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7545 ASHWORTH RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5954
Mailing Address - Country:US
Mailing Address - Phone:515-644-8224
Mailing Address - Fax:515-255-8405
Practice Address - Street 1:7545 ASHWORTH RD STE 210
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5954
Practice Address - Country:US
Practice Address - Phone:515-644-8224
Practice Address - Fax:515-255-8405
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1439322084P0800X
IAMD-504172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry