1508828872 NPI number — MRS. DONNA MARIE SCHULTZ DNP, APRN, NNP-BC, C

Table of content: MRS. DONNA MARIE SCHULTZ DNP, APRN, NNP-BC, C (NPI 1508828872)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508828872 NPI number — MRS. DONNA MARIE SCHULTZ DNP, APRN, NNP-BC, C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHULTZ
Provider First Name:
DONNA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DNP, APRN, NNP-BC, C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOSASSO
Provider Other First Name:
DONNA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, APRN, NNP-BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1508828872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4317 DENHAM WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-837-7276
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PEDIATRIC HEALTH SPECIALISTS
Provider Second Line Business Practice Location Address:
6750 N. MAC ARTHUR BLVD. SUITE 303
Provider Business Practice Location Address City Name:
IRVING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-853-5033
Provider Business Practice Location Address Fax Number:
972-330-4931
Provider Enumeration Date:
04/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LN0000X , with the licence number:  632663 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0200X , with the licence number: AP11745 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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